Sagebrush Therapeutic Services Pllc

NPI #1396485009 in Payette, Idaho

Provider Information

NPI Number: 1396485009
Entity Type: Organization
Organization Name: Sagebrush Therapeutic Services Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 30, 2022
Last Updated: Mar 30, 2022

Practice Location

Address: 540 N 18TH ST
City: Payette
State: Idaho
ZIP Code: 83661-2776
Phone: (208) 582-2883

Authorized Official

Name: MICHAEL LAPE, LCSW
Title: CLINICIAN/OWNER
Phone: (208) 582-2883

Specialties & Taxonomy Codes

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

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