Second Wind Counseling, LLC

NPI #1043751175 in Boise, Idaho

Provider Information

NPI Number: 1043751175
Entity Type: Organization
Organization Name: Second Wind Counseling, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 8, 2017
Last Updated: Mar 8, 2017

Practice Location

Address: 1423 W FRANKLIN ST
City: Boise
State: Idaho
ZIP Code: 83702-5024
Phone: (208) 345-2212

Authorized Official

Name: LONNA MAHANA
Title: PROVIDER RELATIONS
Phone: (208) 287-9420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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