| Si Thompson Lcsw Llc | |
|
7167 1st St Unit 465 Bonners Ferry ID 83805-2321 | |
| (208) 290-4944 | |
| Not Available |
| Full Name | Si Thompson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7167 1st St Unit 465, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Silas T Thompson (OWNER / CLINICIAN) |
| Authorized Official Contact | 2082904944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Si Thompson Lcsw Llc 7167 1st St Unit 465 Bonners Ferry ID 83805-2321 Ph: (208) 290-4944 | Si Thompson Lcsw Llc 7167 1st St Unit 465 Bonners Ferry ID 83805-2321 Ph: (208) 290-4944 |
| NPI Number | 1164271789 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164271789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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