NPI age
19 years
Enumerated 2007-03-14
Across 343 active marriage & family therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 11653580 | CAQH |
| 01 (ID) | 000010155785 | REGENCE BLUE SHIELD |
| 01 (ID) | 2349596 | CIGNA |
| 01 (ID) | 000007224 | UNITED BEHAVIORAL HEALTH |
| 01 (ID) | Q7411 | BLUE CROSS OF IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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