| Utopia Counselling And Adoption Services, Pllc | |
|
1111 S Orchard St Ste 100 Boise ID 83705-1961 | |
| (208) 794-9588 | |
| Not Available |
| Full Name | Utopia Counselling And Adoption Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1111 S Orchard St Ste 100, Boise, Idaho |
| Authorized Official Name and Position | Elizabeth A Jackson (OWNER/COUNSELLOR) |
| Authorized Official Contact | 2087949588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utopia Counselling And Adoption Services, Pllc 1111 S Orchard St Ste 100 Boise ID 83705-1961 Ph: (208) 794-9588 | Utopia Counselling And Adoption Services, Pllc 1111 S Orchard St Ste 100 Boise ID 83705-1961 Ph: (208) 794-9588 |
| NPI Number | 1578076865 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 8628337128 |
|---|---|
| Medicare Enrollment ID | O20180108002545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578076865 | NPI | - | NPPES |
| 1649694233 | Medicaid | ID | |
| 20008188 | Other | ID | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 33837 (Idaho) | Primary |
| Provider Name | Elizabeth A Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649694233 PECOS PAC ID: 7416258587 Enrollment ID: I20151214002209 |
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