| North Idaho Counseling Center | |
|
8596 N Wayne Dr Hayden ID 83835-5068 | |
| (951) 751-7175 | |
| Not Available |
| Full Name | North Idaho Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8596 N Wayne Dr, Hayden, Idaho |
| Authorized Official Name and Position | Nicole Nestor-gray (OWNER) |
| Authorized Official Contact | 9517517175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Counseling Center Po Box 1061 Athol ID 83801-1061 Ph: () - | North Idaho Counseling Center 8596 N Wayne Dr Hayden ID 83835-5068 Ph: (951) 751-7175 |
| NPI Number | 1902495245 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902495245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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