| Paradise Creek Counseling And Consulting | |
|
619 S Washington St Suite 301 Moscow ID 83843-3090 | |
| (208) 596-2542 | |
| Not Available |
| Full Name | Paradise Creek Counseling And Consulting |
|---|---|
| Speciality | Counselor - Professional |
| Location | 619 S Washington St, Moscow, Idaho |
| Authorized Official Name and Position | Dan Bayly (CO-MANAGER) |
| Authorized Official Contact | 2085962542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Creek Counseling And Consulting 619 S Washington St Suite 301 Moscow ID 83843-3090 Ph: (208) 596-2542 | Paradise Creek Counseling And Consulting 619 S Washington St Suite 301 Moscow ID 83843-3090 Ph: (208) 596-2542 |
| NPI Number | 1730466616 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 11/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730466616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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