Organization · Type 2 NPI
Pacific Mental Health Idaho LLC
Mental Health Counselor · Caldwell, ID
NPI number
1710667142
Active
Practice location
1617 Cleveland Blvd
Caldwell, ID 83605-5029
Fax (425) 527-0468
Mailing address
5108 196th St SW Ste 350, C/o Rxdx Medical Billing Services Llc, Ste 310
Lynnwood, WA 98036-6169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710667142
Pacific Mental Health Idaho LLC's National Provider Identifier is 1710667142, issued on Jul 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, ID. The record was last updated on Jul 20, 2023.