| Laura A Cromwell, Llc | |
|
2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 | |
| (208) 376-5683 | |
| (208) 376-5690 |
| Full Name | Laura A Cromwell, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2971 E Copper Point Dr Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Laura Cromwell (OWNER/MANAGER) |
| Authorized Official Contact | 2083765683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Cromwell, Llc 2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 Ph: (208) 376-5683 | Laura A Cromwell, Llc 2971 E Copper Point Dr Ste 100 Meridian ID 83642-9276 Ph: (208) 376-5683 |
| NPI Number | 1407197940 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407197940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-3007 (Idaho) | Primary |
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