| Up North Counseling Llc | |
|
2101 N Lakewood Dr Ste 225 Coeur D Alene ID 83814-2473 | |
| (208) 984-0989 | |
| (208) 601-6133 |
| Full Name | Up North Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2101 N Lakewood Dr Ste 225, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Emily Stadstad (OWNER) |
| Authorized Official Contact | 2089840989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Up North Counseling Llc 2101 N Lakewood Dr Ste 225 Coeur D Alene ID 83814-2473 Ph: (208) 984-0989 | Up North Counseling Llc 2101 N Lakewood Dr Ste 225 Coeur D Alene ID 83814-2473 Ph: (208) 984-0989 |
| NPI Number | 1659192292 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659192292 | NPI | - | NPPES |
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Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 |