NPI age
19 years
Enumerated 2007-02-28
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010035506 | BLUE SHIELD OF IDAHO |
| 01 (ID) | Q5886 | BLUE CROSS OF IDAHO |
| 05 (ID) | 807062700 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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