Center Counseling, LLC

NPI #1679112502 in Chubbuck, Idaho

Provider Information

NPI Number
1679112502
Entity Type
Organization
Organization Name
Center Counseling, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTER COUNSELING, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 23, 2019
Last Updated
Dec 30, 2019

Practice Location

Address
265 E CHUBBUCK RD
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
Community/Behavioral Health

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