| Edge Counseling, Llc | |
|
2976 E State St Ste Eagle ID 83616-6394 | |
| (208) 996-2752 | |
| Not Available |
| Full Name | Edge Counseling, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2976 E State St Ste, Eagle, Idaho |
| Authorized Official Name and Position | Melissa A Gifford (SUD COUNSELOR / OWNER) |
| Authorized Official Contact | 2089962752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge Counseling, Llc 2976 E State St Ste Eagle ID 83616-6394 Ph: (208) 996-2752 | Edge Counseling, Llc 2976 E State St Ste Eagle ID 83616-6394 Ph: (208) 996-2752 |
| NPI Number | 1851156004 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851156004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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