NPI age
19 years
Enumerated 2006-08-10
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (NE) | 91185390827 | |
| 01 (NE) | 345988000 | MAGELLAN |
| 01 (NE) | 114961 | VALUE OPTIONS |
| 01 (NE) | 84913 | BLUE CROSS BLUE SHIELD |
| 05 (NE) | 91185390826 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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