| Amethyst Counseling And Case Management | |
|
3400 E River Valley St Apt J202 Meridian ID 83646-2361 | |
| (907) 302-8366 | |
| Not Available |
| Full Name | Amethyst Counseling And Case Management |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3400 E River Valley St Apt J202, Meridian, Idaho |
| Authorized Official Name and Position | Jamila Gilliam (OWNER) |
| Authorized Official Contact | 9073028366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Counseling And Case Management 3400 E River Valley St Apt J202 Meridian ID 83646-2361 Ph: (907) 302-8366 | Amethyst Counseling And Case Management 3400 E River Valley St Apt J202 Meridian ID 83646-2361 Ph: (907) 302-8366 |
| NPI Number | 1578101556 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578101556 | NPI | - | NPPES |
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