| Wenetzky Counseling Services Pllc | |
|
401 W Idaho St # Ll-1 Boise ID 83702-6042 | |
| (208) 486-0637 | |
| Not Available |
| Full Name | Wenetzky Counseling Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 401 W Idaho St # Ll-1, Boise, Idaho |
| Authorized Official Name and Position | Benjamin Wenetzky (OWNER) |
| Authorized Official Contact | 2084860637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wenetzky Counseling Services Pllc 967 E Parkcenter Blvd # 274 Boise ID 83706-6721 Ph: () - | Wenetzky Counseling Services Pllc 401 W Idaho St # Ll-1 Boise ID 83702-6042 Ph: (208) 486-0637 |
| NPI Number | 1689440786 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 0345686598 |
|---|---|
| Medicare Enrollment ID | O20240309000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689440786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Benjamin Wenetzky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023561990 PECOS PAC ID: 6901286483 Enrollment ID: I20220629003507 |
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