Idaho Counseling and Trauma Center

NPI #1316649106 in Sandpoint, Idaho

Provider Information

NPI Number: 1316649106
Entity Type: Organization
Organization Name: Idaho Counseling and Trauma Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 1309 PONDEROSA DR
City: Sandpoint
State: Idaho
ZIP Code: 83864-8278
Phone: (208) 278-6027

Authorized Official

Name: TAMARA K BAKER, LMFT
Title: OWNER
Phone: (208) 278-6027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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