Sontag Counseling Pllc | |
2201 N Bryson Rd Boise ID 83713-5038 | |
(406) 369-5293 | |
Not Available |
Full Name | Sontag Counseling Pllc |
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Speciality | Social Worker |
Location | 2201 N Bryson Rd, Boise, Idaho |
Authorized Official Name and Position | Mary-ann Sontag (OWNER) |
Authorized Official Contact | 4063695293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sontag Counseling Pllc 2201 N Bryson Rd Boise ID 83713-5038 Ph: (406) 369-5293 | Sontag Counseling Pllc 2201 N Bryson Rd Boise ID 83713-5038 Ph: (406) 369-5293 |
NPI Number | 1871317040 |
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Provider Enumeration Date | 11/13/2024 |
Last Update Date | 11/16/2024 |
Certification Date | 11/16/2024 |
Medicare PECOS PAC ID | 1759818123 |
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Medicare Enrollment ID | O20241224000827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871317040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Mary-ann Sontag |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831509280 PECOS PAC ID: 2668909037 Enrollment ID: I20241224000873 |
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