| Rural Educational Services Llc | |
|
4090 W State St Ste 106 Boise ID 83703-4450 | |
| (208) 297-8227 | |
| Not Available |
| Full Name | Rural Educational Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4090 W State St Ste 106, Boise, Idaho |
| Authorized Official Name and Position | Rebecca Marie Carroll (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2082978227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Educational Services Llc 4090 W State St Ste 106 Boise ID 83703-4450 Ph: (208) 297-8227 | Rural Educational Services Llc 4090 W State St Ste 106 Boise ID 83703-4450 Ph: (208) 297-8227 |
| NPI Number | 1609631084 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609631084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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