Organization · Type 2 NPI
Cultivation, LLC
Professional Counselor · Coeur D'alene, ID
NPI number
1295353217
Active
Practice location
211 E. Coeur Dalene Ave. Ste 102
Coeur D'alene, ID 83814
Fax (208) 620-2306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1295353217
Cultivation, LLC's National Provider Identifier is 1295353217, issued on Jul 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D'alene, ID. The record was last updated on Jul 7, 2020.