Family Life Counseling Center | |
1159 E Iron Eagle Dr Ste 170 Eagle ID 83616-6870 | |
(208) 407-8014 | |
Not Available |
Full Name | Family Life Counseling Center |
---|---|
Speciality | Counselor - Professional |
Location | 1159 E Iron Eagle Dr Ste 170, Eagle, Idaho |
Authorized Official Name and Position | Shane Michael Duty (PRESIDENT) |
Authorized Official Contact | 2084078014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Life Counseling Center 1159 E Iron Eagle Dr Ste 170 Eagle ID 83616-6870 Ph: (208) 407-8014 | Family Life Counseling Center 1159 E Iron Eagle Dr Ste 170 Eagle ID 83616-6870 Ph: (208) 407-8014 |
NPI Number | 1154198786 |
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Provider Enumeration Date | 12/05/2023 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154198786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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