| Peach Counseling | |
|
2101 N Lakewood Dr Suite 234 Coeur D Alene ID 83814-2473 | |
| (208) 640-9257 | |
| Not Available |
| Full Name | Peach Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2101 N Lakewood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Sharene Heisler (OWNER) |
| Authorized Official Contact | 2086409257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Counseling 2101 N Lakewood Dr Suite 234 Coeur D Alene ID 83814-2473 Ph: (208) 640-9257 | Peach Counseling 2101 N Lakewood Dr Suite 234 Coeur D Alene ID 83814-2473 Ph: (208) 640-9257 |
| NPI Number | 1053702142 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053702142 | NPI | - | NPPES |
| 1417079856 | Other | ID | OWNER NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-29180 (Idaho) | Primary |
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