| Reendeavor, Llc | |
|
824 17th Ave S Ste 15 Nampa ID 83651-4780 | |
| (208) 992-3310 | |
| (208) 228-9929 |
| Full Name | Reendeavor, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 824 17th Ave S Ste 15, Nampa, Idaho |
| Authorized Official Name and Position | Jennifer Haagenson (MANAGER, COUNSELOR) |
| Authorized Official Contact | 2089923310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reendeavor, Llc 824 17th Ave S Ste 15 Nampa ID 83651-4780 Ph: (208) 992-3310 | Reendeavor, Llc 824 17th Ave S Ste 15 Nampa ID 83651-4780 Ph: (208) 992-3310 |
| NPI Number | 1912724998 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912724998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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