Idaho Counseling And Trauma Center | |
1309 Ponderosa Dr Sandpoint ID 83864-8278 | |
(208) 278-6027 | |
Not Available |
Full Name | Idaho Counseling And Trauma Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1309 Ponderosa Dr, Sandpoint, Idaho |
Authorized Official Name and Position | Tamara K Baker (OWNER) |
Authorized Official Contact | 2082786027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho Counseling And Trauma Center 204 N 4th Ave Unit 2423 Sandpoint ID 83864-0476 Ph: (208) 278-6027 | Idaho Counseling And Trauma Center 1309 Ponderosa Dr Sandpoint ID 83864-8278 Ph: (208) 278-6027 |
NPI Number | 1316649106 |
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Provider Enumeration Date | 03/17/2023 |
Last Update Date | 03/17/2023 |
Certification Date | 03/17/2023 |
Identifier | Type | State | Issuer |
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1316649106 | NPI | - | NPPES |
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Brianna Thoreson, Msw, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478 | |
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