| Abbadaddy House, Inc | |
|
109 S Mill St Grangeville ID 83530-2246 | |
| (208) 962-7384 | |
| Not Available |
| Full Name | Abbadaddy House, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 109 S Mill St, Grangeville, Idaho |
| Authorized Official Name and Position | Myrna Thatcher (PRESIDENT) |
| Authorized Official Contact | 2089627384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abbadaddy House, Inc Po Box 506 Cottonwood ID 83522-0506 Ph: (208) 962-7384 | Abbadaddy House, Inc 109 S Mill St Grangeville ID 83530-2246 Ph: (208) 962-7384 |
| NPI Number | 1912290560 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912290560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT 2654 (Idaho) | Primary |
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