| Summit Counseling Pllc | |
|
413 Allumbaugh St Suite 102 Boise ID 83704-9212 | |
| (208) 287-0993 | |
| (208) 287-0996 |
| Full Name | Summit Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 413 Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Lloyd Anthony Callens (OWNER) |
| Authorized Official Contact | 2082870993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Counseling Pllc 413 Allumbaugh St Suite 102 Boise ID 83704-9212 Ph: (208) 287-0993 | Summit Counseling Pllc 413 Allumbaugh St Suite 102 Boise ID 83704-9212 Ph: (208) 287-0993 |
| NPI Number | 1699893487 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699893487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW3098 (Idaho) | Primary |
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