| Central Mountains Counseling, Pllc | |
|
301 Deinhard Ln Mccall ID 83638-4703 | |
| (208) 630-4040 | |
| (208) 634-4055 |
| Full Name | Central Mountains Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Deinhard Ln, Mccall, Idaho |
| Authorized Official Name and Position | Jacob W. Wilson (OWNER/CLINICIAN) |
| Authorized Official Contact | 2086304040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Mountains Counseling, Pllc Po Box 2553 Mccall ID 83638-2553 Ph: (208) 630-4040 | Central Mountains Counseling, Pllc 301 Deinhard Ln Mccall ID 83638-4703 Ph: (208) 630-4040 |
| NPI Number | 1841470887 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 01/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841470887 | NPI | - | NPPES |
| 8PO33 | Other | ID | BLUE CROSS |
| 40230 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-30132 (Idaho) | Primary |
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