| Virginia Spackman Llc | |
|
1068 Owyhee St Kuna ID 83634-2206 | |
| (208) 409-3050 | |
| Not Available |
| Full Name | Virginia Spackman Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1068 Owyhee St, Kuna, Idaho |
| Authorized Official Name and Position | Virginia L Spackman (OWNER) |
| Authorized Official Contact | 2084093050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Spackman Llc 1068 Owyhee St Kuna ID 83634-2206 Ph: (208) 409-3050 | Virginia Spackman Llc 1068 Owyhee St Kuna ID 83634-2206 Ph: (208) 409-3050 |
| NPI Number | 1548980139 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548980139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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