NPI age
19 years
Enumerated 2007-03-15
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010156105 | BLUE SHIELD OF IDAHO |
| 01 (ID) | X6892 | BLUE CROSS OF IDAHO |
| 01 (ID) | 7819838 | AETNA |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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