Center Counseling, Llc | |
265 E Chubbuck Rd Chubbuck ID 83202-5055 | |
(208) 237-1711 | |
(208) 237-9806 |
Full Name | Center Counseling, Llc |
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Speciality | Community/behavioral Health |
Location | 265 E Chubbuck Rd, Chubbuck, Idaho |
Authorized Official Name and Position | Deborah Arlene Goss (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2082211161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center Counseling, Llc 265 E Chubbuck Rd Chubbuck ID 83202-5055 Ph: (208) 237-1711 | Center Counseling, Llc 265 E Chubbuck Rd Chubbuck ID 83202-5055 Ph: (208) 237-1711 |
NPI Number | 1679112502 |
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Provider Enumeration Date | 12/23/2019 |
Last Update Date | 12/30/2019 |
Certification Date | 12/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679112502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Center Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 265 East Chubbuck, Chubbuck, ID 83202 Phone: 208-406-3399 | |
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