| Community Outreach Counseling Llc | |
|
2707 Garrity Blvd Ste 5 Nampa ID 83687-3679 | |
| (208) 466-7443 | |
| (208) 466-5058 |
| Full Name | Community Outreach Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2707 Garrity Blvd Ste 5, Nampa, Idaho |
| Authorized Official Name and Position | Paula S. Marcotte (OWNER) |
| Authorized Official Contact | 2084667443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Counseling Llc 2707 Garrity Blvd Ste 5 Nampa ID 83687-3679 Ph: (208) 466-7443 | Community Outreach Counseling Llc 2707 Garrity Blvd Ste 5 Nampa ID 83687-3679 Ph: (208) 466-7443 |
| NPI Number | 1417158338 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417158338 | NPI | - | NPPES |
| 807120900 | Medicaid | ID | |
| 807404500 | Medicaid | ID | |
| 807197500 | Medicaid | ID |
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