NPI age
19 years
Enumerated 2006-07-27
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1164723334 | |
| 01 (ID) | 710C6005 | RBH |
| 01 (ID) | D214391 | VALUE OPTIONS |
| 01 (ID) | Q7348 | BLUE CROSS |
| 01 (ID) | Q7699 | BLUE CROSS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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