NPI age
19 years
Enumerated 2006-12-05
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806939500 | |
| 05 (ID) | 807352800 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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