Family Support Services Of North Idaho
Counselor, Mental Health in Coeur D Alene, ID. Organization (NPI-2).
NPI number1124124797
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124124797
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Support Services Of North Idaho
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | ID | Yes |
Practice location
1115 W Ironwood DrSuite C
Coeur D Alene, ID 83814-4936
Phone 208-769-4222 · Fax 208-667-7557
Mailing address
1115 W Ironwood DrSuite C
Coeur D Alene, ID 83814-4936
Phone 208-769-4222 · Fax 208-667-7557
Authorized official
Jodi Smith
Executive Director
2087694222
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