Sequel Alliance Family Services, LLC

NPI #1215359856 in St Maries, Idaho

Provider Information

NPI Number: 1215359856
Entity Type: Organization
Organization Name: Sequel Alliance Family Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SEQUEL TSI HOLDING, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 16, 2014
Last Updated: Jan 17, 2014

Practice Location

Address: 89 HOMER DR
City: St Maries
State: Idaho
ZIP Code: 83861-5078
Phone: (208) 245-5427

Authorized Official

Name: MS. MARY CAUDLE
Title: CBO DIRECTOR OF PATIENT ACCOUNTS
Phone: (256) 880-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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