| Kuna Counseling Center, Llc | |
|
190 W Main St Kuna ID 83634 | |
| (208) 922-9001 | |
| (208) 922-3778 |
| Full Name | Kuna Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 190 W Main St, Kuna, Idaho |
| Authorized Official Name and Position | Jim A Grigg (OWNER) |
| Authorized Official Contact | 2089229001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuna Counseling Center, Llc Po Box 959 Kuna ID 83634-0900 Ph: (208) 922-9001 | Kuna Counseling Center, Llc 190 W Main St Kuna ID 83634 Ph: (208) 922-9001 |
| NPI Number | 1568544047 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568544047 | NPI | - | NPPES |
| 8L311 | Other | ID | BLUE CROSS OF IDAHO |
| 806162000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-407 (Idaho) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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