Northwest Counseling Services PLLC
Social Worker, Clinical in Hayden, ID. Organization (NPI-2).
NPI number1689397804
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1689397804
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Counseling Services PLLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
109 W Honeysuckle AveHayden, ID 83835-9934
Phone 208-816-0069
Mailing address
Po Box 1308Hayden, ID 83835-1308
Phone 208-553-7930
Authorized official
Cherish Hill
Social Worker
2085537930
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