Virginia Spackman LLC

NPI #1548980139 in Kuna, Idaho

Provider Information

NPI Number: 1548980139
Entity Type: Organization
Organization Name: Virginia Spackman LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 1, 2022
Last Updated: Sep 1, 2022

Practice Location

Address: 1068 OWYHEE ST
City: Kuna
State: Idaho
ZIP Code: 83634-2206
Phone: (208) 409-3050

Authorized Official

Name: VIRGINIA L SPACKMAN, M.ED, LCPC
Title: OWNER
Phone: (208) 409-3050

Specialties & Taxonomy Codes

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

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