Rawlings Community Counseling | |
6807 Cody St Bonners Ferry ID 83805-8613 | |
(208) 267-0900 | |
(208) 267-6100 |
Full Name | Rawlings Community Counseling |
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Speciality | Counselor |
Location | 6807 Cody St, Bonners Ferry, Idaho |
Authorized Official Name and Position | Barbara Rawlings (OPERATIONS MANAGER) |
Authorized Official Contact | 2082670900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rawlings Community Counseling 6807 Cody St Bonners Ferry ID 83805-8613 Ph: (208) 267-0900 | Rawlings Community Counseling 6807 Cody St Bonners Ferry ID 83805-8613 Ph: (208) 267-0900 |
NPI Number | 1245528082 |
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Provider Enumeration Date | 07/14/2011 |
Last Update Date | 10/13/2016 |
Medicare PECOS PAC ID | 8820222086 |
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Medicare Enrollment ID | O20131002000297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245528082 | NPI | - | NPPES |
Provider Name | Jeremy Gau |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013304617 PECOS PAC ID: 3274899695 Enrollment ID: I20171116003284 |
Provider Name | Treva Rae Rawlings |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831488030 PECOS PAC ID: 0749414688 Enrollment ID: I20240417003000 |
Provider Name | Nicole Madill-klupenger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366990996 PECOS PAC ID: 7618316076 Enrollment ID: I20240417003609 |
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