NPI age
9 years
Enumerated 2016-11-10
Across 1998 active counselor providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 26-3016352 | |
| 05 (ID) | 1518409382 |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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