| Practice Partners, Llc. | |
|
4185 Birchwood Cir Ammon ID 83406-4648 | |
| (208) 534-8303 | |
| Not Available |
| Full Name | Practice Partners, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 4185 Birchwood Cir, Ammon, Idaho |
| Authorized Official Name and Position | Tomi N Smith (CEO) |
| Authorized Official Contact | 2085348303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practice Partners, Llc. 4185 Birchwood Cir Ammon ID 83406-4648 Ph: (208) 534-8303 | Practice Partners, Llc. 4185 Birchwood Cir Ammon ID 83406-4648 Ph: (208) 534-8303 |
| NPI Number | 1396057303 |
|---|---|
| Provider Enumeration Date | 07/07/2010 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396057303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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