NPI age
9 years
Enumerated 2017-05-07
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 82-0471763 | MEDICARE PTAN: 20006011 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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