| Wolverine Canyon Counseling, Llc | |
|
1434 N 615 E Shelley ID 83274-5077 | |
| (208) 520-1502 | |
| Not Available |
| Full Name | Wolverine Canyon Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1434 N 615 E, Shelley, Idaho |
| Authorized Official Name and Position | Dallen Ray Bell (OWNER) |
| Authorized Official Contact | 2085201502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolverine Canyon Counseling, Llc 1434 N 615 E Shelley ID 83274-5077 Ph: (208) 520-1502 | Wolverine Canyon Counseling, Llc 1434 N 615 E Shelley ID 83274-5077 Ph: (208) 520-1502 |
| NPI Number | 1396447231 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396447231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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