Wood River Wellness Institute | |
160 7th Street, 2c Ketchum ID 83340 | |
(208) 403-0763 | |
Not Available |
Full Name | Wood River Wellness Institute |
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Speciality | Counselor - Mental Health |
Location | 160 7th Street, 2c, Ketchum, Idaho |
Authorized Official Name and Position | Catherine Cox (OWNER) |
Authorized Official Contact | 4156527400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wood River Wellness Institute Po Box 574 Ketchum ID 83340-0481 Ph: (208) 403-0763 | Wood River Wellness Institute 160 7th Street, 2c Ketchum ID 83340 Ph: (208) 403-0763 |
NPI Number | 1346085024 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 06/26/2024 |
Certification Date | 06/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346085024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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