NPI age
20 years
Enumerated 2005-10-09
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | Q4558 | BLUE CROSS |
| 01 (ID) | 000010016625 | REGENCE BLUESHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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