NPI age
20 years
Enumerated 2005-10-04
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010139485 | BLUE SHIELD |
| 01 (ID) | Q5449 | BLUE CROSS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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