| Eagle Youth Counseling | |
|
380 W State St Eagle ID 83616-4902 | |
| (208) 999-1921 | |
| Not Available |
| Full Name | Eagle Youth Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 380 W State St, Eagle, Idaho |
| Authorized Official Name and Position | Angela Brewster (COUNSELOR/OWNER) |
| Authorized Official Contact | 2089991921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Youth Counseling 380 W State St Eagle ID 83616-4902 Ph: (208) 999-1921 | Eagle Youth Counseling 380 W State St Eagle ID 83616-4902 Ph: (208) 999-1921 |
| NPI Number | 1043163249 |
|---|---|
| Provider Enumeration Date | 02/17/2026 |
| Last Update Date | 02/17/2026 |
| Certification Date | 02/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043163249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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