| Wellness Enhancement Center Llc | |
|
950 W Ironwood Dr Suite 2 Coeur D Alene ID 83814-2644 | |
| (208) 964-1717 | |
| Not Available |
| Full Name | Wellness Enhancement Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 950 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Rosalie Nadine Johnston (OWNER) |
| Authorized Official Contact | 2089641717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Enhancement Center Llc 950 W Ironwood Dr Suite 2 Coeur D Alene ID 83814-2644 Ph: (208) 964-1717 | Wellness Enhancement Center Llc 950 W Ironwood Dr Suite 2 Coeur D Alene ID 83814-2644 Ph: (208) 964-1717 |
| NPI Number | 1477756146 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477756146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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