Sequel Alliance Family Services, LLC

NPI #1689097834 in Kellogg, Idaho

Provider Information

NPI Number: 1689097834
Entity Type: Organization
Organization Name: Sequel Alliance Family Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SEQUEL TSI HOLDING, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 23, 2014
Last Updated: Jan 23, 2014

Practice Location

Address: 14 EMERSON LN
City: Kellogg
State: Idaho
ZIP Code: 83837-2454
Phone: (208) 783-0660

Authorized Official

Name: MS. MARY CAUDLE
Title: CBO
Phone: (256) 880-3339

Specialties & Taxonomy Codes

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

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