| Clearwater Counseling | |
|
318 1/2 E Main St Grangeville ID 83530-2238 | |
| (208) 983-7717 | |
| (208) 983-7787 |
| Full Name | Clearwater Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 318 1/2 E Main St, Grangeville, Idaho |
| Authorized Official Name and Position | Mark Robert Jones (OWNER) |
| Authorized Official Contact | 2087438101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling 1020 Main St Po Box 1123 Lewiston ID 83501-1842 Ph: (208) 743-8101 | Clearwater Counseling 318 1/2 E Main St Grangeville ID 83530-2238 Ph: (208) 983-7717 |
| NPI Number | 1134361207 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134361207 | NPI | - | NPPES |
| 807373700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCPC4218 (Idaho) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | LCSW1120 (Idaho) | Secondary |
Camas Professional Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Bentley Counseling And Consulting,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Center Rd., Grangeville, ID 83530 Phone: 208-983-5535 | |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Grangeville, ID 83530 Phone: 208-983-7717 Fax: 208-983-7787 | |
Idaho Dept Of Health & Welfare Reg 2 Amh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 | |
Idaho Dept Of Health & Welfare Reg 2 Cmh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 Fax: 208-983-2440 |