| Central Idaho Counseling | |
|
125 Commerce St B Mccall ID 83638-5192 | |
| (208) 634-7817 | |
| (208) 634-5064 |
| Full Name | Central Idaho Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 Commerce St, Mccall, Idaho |
| Authorized Official Name and Position | Shawn J Briley (OWNER) |
| Authorized Official Contact | 2084510101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Idaho Counseling Po Box 1127 Mccall ID 83638-1127 Ph: (208) 451-0101 | Central Idaho Counseling 125 Commerce St B Mccall ID 83638-5192 Ph: (208) 634-7817 |
| NPI Number | 1629461215 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629461215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-5818 (Idaho) | Primary |
Central Idaho Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce St., Suite B, Mccall, ID 83638 Phone: 208-634-2962 Fax: 208-634-5064 | |
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