| Sontag Counseling Pllc | |
|
2201 N Bryson Rd Boise ID 83713-5038 | |
| (406) 369-5293 | |
| Not Available |
| Full Name | Sontag Counseling Pllc |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/16/2024 |
| Certification Date | 11/16/2024 |
| Medicare PECOS PAC ID | 1759818123 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831509280 PECOS PAC ID: 2668909037 Enrollment ID: I20241224000873 |
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