| Alturas Counseling | |
|
204 S Cole Rd Boise ID 83709-0934 | |
| (208) 991-0225 | |
| Not Available |
| Full Name | Alturas Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 204 S Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Christina Smith (CLINICIAN) |
| Authorized Official Contact | 2089210881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alturas Counseling 2211 W Malad St Boise ID 83705-4334 Ph: (208) 921-0881 | Alturas Counseling 204 S Cole Rd Boise ID 83709-0934 Ph: (208) 991-0225 |
| NPI Number | 1821550203 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 05/07/2019 |
| Medicare PECOS PAC ID | 4284967753 |
|---|---|
| Medicare Enrollment ID | O20190616000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821550203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christina M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982907358 PECOS PAC ID: 5193058667 Enrollment ID: I20190616000010 |
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