Breakthrough Counseling | |
12271 Hartford Ave Orofino ID 83544-9348 | |
(208) 471-8079 | |
(877) 775-0174 |
Full Name | Breakthrough Counseling |
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Speciality | Social Worker - Clinical |
Location | 12271 Hartford Ave, Orofino, Idaho |
Authorized Official Name and Position | Michael Keith Richardson (OWNER/THERAPIST) |
Authorized Official Contact | 2084718079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breakthrough Counseling Po Box 381 Orofino ID 83544-0381 Ph: (208) 471-8079 | Breakthrough Counseling 12271 Hartford Ave Orofino ID 83544-9348 Ph: (208) 471-8079 |
NPI Number | 1366171753 |
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Provider Enumeration Date | 06/09/2022 |
Last Update Date | 06/09/2022 |
Certification Date | 06/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366171753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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