NPI age
5 years
Enumerated 2020-06-10
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 500792873SUD | |
| 05 (OR) | 500781020MH |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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