NPI age
19 years
Enumerated 2006-11-14
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | Q7106 | ID BLUE CROSS PROVIDER ID |
| 01 (ID) | 000010028621 | RBSI PROVIDER ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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