| Renew Counseling & Psychotherapy, Pllc | |
|
506 Alder St Ste 100c Sandpoint ID 83864-1567 | |
| (208) 626-9638 | |
| Not Available |
| Full Name | Renew Counseling & Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 506 Alder St Ste 100c, Sandpoint, Idaho |
| Authorized Official Name and Position | Katty Rozok (OWNER) |
| Authorized Official Contact | 2086269638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling & Psychotherapy, Pllc 506 Alder St Ste 100c Sandpoint ID 83864-1567 Ph: (208) 626-9638 | Renew Counseling & Psychotherapy, Pllc 506 Alder St Ste 100c Sandpoint ID 83864-1567 Ph: (208) 626-9638 |
| NPI Number | 1326861782 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326861782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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