Sequel Alliance Family Services, LLC

NPI #1720400294 in Lewiston, Idaho

Provider Information

NPI Number: 1720400294
Entity Type: Organization
Organization Name: Sequel Alliance Family Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SEQUEL TSI HOLDING
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 17, 2014
Last Updated: Jan 17, 2014

Practice Location

Address: 141 9TH ST STE 1
City: Lewiston
State: Idaho
ZIP Code: 83501-2136
Phone: (208) 746-0669

Authorized Official

Name: MS. MARY CAUDLE
Title: CBO DIRECTOR OF PATIENT ACCOUNTS
Phone: (256) 880-3339

Specialties & Taxonomy Codes

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

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