NPI age
20 years
Enumerated 2006-03-14
Across 343 active marriage & family therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806474100 | |
| 01 (ID) | 000010154671 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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