Central Idaho Counseling, PLLC
Counselor, Mental Health in McCall, ID. Organization (NPI-2).
NPI number1275944498
StatusActive
Last updated in NPPESJan 21, 2025
Details
- NPI
- 1275944498
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Idaho Counseling, PLLC
- Organization subpart
- No
- Enumeration date
- May 9, 2014
- Certification date
- Jan 21, 2025
- Last updated
- Jan 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Central Idaho Counseling (Doing Business As)
Practice location
125 Commerce St.Suite B
McCall, ID 83638
Phone 208-634-2962 · Fax 208-634-5064
Mailing address
125 Commerce St.Suite B
McCall, ID 83638
Phone 208-634-2962 · Fax 208-634-5064
Authorized official
Eric A Mikkelsen
Owner/Clinician
2086342962
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