| Second Wind Counseling, Llc | |
|
1423 W Franklin St Boise ID 83702-5024 | |
| (208) 345-2212 | |
| (208) 345-2282 |
| Full Name | Second Wind Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1423 W Franklin St, Boise, Idaho |
| Authorized Official Name and Position | Lonna Mahana (PROVIDER RELATIONS) |
| Authorized Official Contact | 2082879420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Wind Counseling, Llc 7621 W Waverly Dr Boise ID 83704-7210 Ph: (208) 287-9420 | Second Wind Counseling, Llc 1423 W Franklin St Boise ID 83702-5024 Ph: (208) 345-2212 |
| NPI Number | 1043751175 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043751175 | NPI | - | NPPES |
| LCPC-3442 | Other | ID | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-3442 (Idaho) | Primary |
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