| Sea Light Counseling Llc | |
|
128 Lincoln St Twin Falls ID 83301-5249 | |
| (208) 420-7852 | |
| Not Available |
| Full Name | Sea Light Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 128 Lincoln St, Twin Falls, Idaho |
| Authorized Official Name and Position | Mark Chappel (REGISTERED AGENT) |
| Authorized Official Contact | 2084207852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Light Counseling Llc 128 Lincoln St Twin Falls ID 83301-5249 Ph: (208) 420-7852 | Sea Light Counseling Llc 128 Lincoln St Twin Falls ID 83301-5249 Ph: (208) 420-7852 |
| NPI Number | 1316730252 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316730252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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