Center Counseling, LLC

NPI #1679107296 in Chubbuck, Idaho

Provider Information

NPI Number: 1679107296
Entity Type: Organization
Organization Name: Center Counseling, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTER COUNSELING LLC
Primary Specialty: Specialist
Enumeration Date: Feb 24, 2020
Last Updated: Feb 24, 2020

Practice Location

Address: 265 E CHUBBUCK RD
City: Chubbuck
State: Idaho
ZIP Code: 83202-5055
Phone: (208) 237-1711

Authorized Official

Name: DEBORAH ARLENE GOSS
Title: CREDENTIALING SPECIALIST
Phone: (208) 221-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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