| Clearwater Counseling | |
|
112 West 4th #5 Moscow ID 83843 | |
| (208) 882-9460 | |
| (208) 746-7402 |
| Full Name | Clearwater Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 112 West 4th #5, Moscow, Idaho |
| Authorized Official Name and Position | Mark R Jones (OWNER) |
| Authorized Official Contact | 2087438101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling P.o. Box 1123 Lewiston ID 83501 Ph: (208) 743-8101 | Clearwater Counseling 112 West 4th #5 Moscow ID 83843 Ph: (208) 882-9460 |
| NPI Number | 1003937962 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003937962 | NPI | - | NPPES |
| 8073472 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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