| Bourner Counseling Services | |
|
100 S Iowa Ave Fruitland ID 83619-2644 | |
| (208) 453-4378 | |
| (208) 452-4378 |
| Full Name | Bourner Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 S Iowa Ave, Fruitland, Idaho |
| Authorized Official Name and Position | Megan Bourner (OWNER) |
| Authorized Official Contact | 2087390230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourner Counseling Services 100 S Iowa Ave Fruitland ID 83619-2644 Ph: (208) 453-4378 | Bourner Counseling Services 100 S Iowa Ave Fruitland ID 83619-2644 Ph: (208) 453-4378 |
| NPI Number | 1346644788 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346644788 | NPI | - | NPPES |
| ID3857 | Other | ID | STATE OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC5147 (Idaho) | Primary |
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