| Pacific Northwest Counseling | |
|
3404 E Tusa Ct Meridian ID 83642 | |
| (949) 259-3980 | |
| (208) 286-2332 |
| Full Name | Pacific Northwest Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3404 E Tusa Ct, Meridian, Idaho |
| Authorized Official Name and Position | Michele Haynes (OWNER) |
| Authorized Official Contact | 9492593980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Counseling 10400 W Overland Rd # 307 Boise ID 83709-1433 Ph: (949) 259-3980 | Pacific Northwest Counseling 3404 E Tusa Ct Meridian ID 83642 Ph: (949) 259-3980 |
| NPI Number | 1396488805 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396488805 | NPI | - | NPPES |
| 1407244122 | Other | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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