Cross Creek Counseling LLC

NPI #1295512929 in Meridian, Idaho

Provider Information

NPI Number: 1295512929
Entity Type: Organization
Organization Name: Cross Creek Counseling LLC
Primary Specialty: Counselor
Enumeration Date: Sep 14, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 1047 S WELLS ST
City: Meridian
State: Idaho
ZIP Code: 83642-7997
Phone: (208) 863-0045

Authorized Official

Name: TANYA M GOODRICH, LMFT
Title: OWNER
Phone: (208) 863-0045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Counselor	101Y00000X	Primary

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