| Clearwater Counseling | |
|
006 Main Kooskia ID 83539 | |
| (208) 983-7717 | |
| (208) 983-7787 |
| Full Name | Clearwater Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 006 Main, Kooskia, Idaho |
| Authorized Official Name and Position | Mark Jones (OWNER) |
| Authorized Official Contact | 2087438101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling Po Box 1123 Lewiston ID 83501-1123 Ph: (208) 987-7717 | Clearwater Counseling 006 Main Kooskia ID 83539 Ph: (208) 983-7717 |
| NPI Number | 1972624849 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624849 | NPI | - | NPPES |
| 8076545 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 006 Main, Kooskia, ID 83539 Phone: 208-983-7717 Fax: 208-983-7787 |