Freedom Counseling Services Of Boise | |
3350 W Americana Ter Suite 210b Boise ID 83706-2521 | |
(208) 807-0122 | |
Not Available |
Full Name | Freedom Counseling Services Of Boise |
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Speciality | Community/behavioral Health |
Location | 3350 W Americana Ter, Boise, Idaho |
Authorized Official Name and Position | Timothy Desantis (OWNER/THERAPIST) |
Authorized Official Contact | 2088070122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Freedom Counseling Services Of Boise Po Box 170111 Boise ID 83717-0111 Ph: () - | Freedom Counseling Services Of Boise 3350 W Americana Ter Suite 210b Boise ID 83706-2521 Ph: (208) 807-0122 |
NPI Number | 1902259609 |
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Provider Enumeration Date | 07/18/2016 |
Last Update Date | 07/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902259609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCPC-4671 (Idaho) | Primary |
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