Center Counseling, LLC

NPI #1700425600 in Chubbuck, Idaho

Provider Information

NPI Number: 1700425600
Entity Type: Organization
Organization Name: Center Counseling, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTER COUNSELING, LLC
Primary Specialty: Peer Specialist
Enumeration Date: Dec 26, 2019
Last Updated: Jan 13, 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
Peer Specialist	175T00000X	Primary

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