| Intraspect Counseling Llc | |
|
88 W Commerce Dr Suite C Hayden ID 83835-7994 | |
| (208) 762-4405 | |
| (888) 977-1389 |
| Full Name | Intraspect Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 88 W Commerce Dr, Hayden, Idaho |
| Authorized Official Name and Position | Traci Lynn Feek (OWNER) |
| Authorized Official Contact | 2087624405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intraspect Counseling Llc 88 W Commerce Dr Suite C Hayden ID 83835-7994 Ph: (208) 762-4405 | Intraspect Counseling Llc 88 W Commerce Dr Suite C Hayden ID 83835-7994 Ph: (208) 762-4405 |
| NPI Number | 1972862290 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972862290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-4041 (Idaho) | Primary |
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