NPI age
19 years
Enumerated 2006-07-17
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 137333137335 | PREMERA BLUE CROSS |
| 01 (ID) | 000010015830 | REGENCE BLUE SHIELD |
| 01 (ID) | Q107-5 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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