| Cda Counseling Services | |
|
5920 N Government Way Ste 4 Dalton Gardens ID 83815-9200 | |
| (509) 989-4935 | |
| (208) 601-6162 |
| Full Name | Cda Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5920 N Government Way Ste 4, Dalton Gardens, Idaho |
| Authorized Official Name and Position | Brad Richard Smedley (OWNER/OPERATOR) |
| Authorized Official Contact | 5099894935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cda Counseling Services 3675 N Scotch Pine Ln Apt 3 Coeur D Alene ID 83815-1899 Ph: (509) 989-4935 | Cda Counseling Services 5920 N Government Way Ste 4 Dalton Gardens ID 83815-9200 Ph: (509) 989-4935 |
| NPI Number | 1659106441 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659106441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Open Mind Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 N Government Way, #4, Dalton Gardens, ID 83815 Phone: 208-819-0550 | |
Diversified Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5624 N Government Way Ste 7b, Dalton Gardens, ID 83815 Phone: 208-762-9890 Fax: 208-762-9892 |