Rathdrum Counseling Center, LLC

NPI #1083152144 in Rathdrum, Idaho

Provider Information

NPI Number: 1083152144
Entity Type: Organization
Organization Name: Rathdrum Counseling Center, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 14954 N COEUR DALENE ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-6484
Phone: (208) 687-0538

Authorized Official

Name: LYNN M RUSSELL, LCSW
Title: OWNER/DIRECTOR
Phone: (208) 687-0538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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