Sequel Alliance Family Services, LLC
NPI #1235552431 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1235552431
- 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 24, 2014
- Last Updated
- Jan 24, 2014
Practice Location
- Address
- 6334 MAIN ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8519
- Phone
- (208) 267-0780
Authorized Official
- Name
- MS. MARY E CAUDLE
- Title
- CBO DIRECTOR OF PATIENT ACCOUNTS
- Phone
- (256) 880-3339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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