State Avenue Offices
NPI #1821344367 in Meridian, Idaho
Provider Information
- NPI Number
- 1821344367
- Entity Type
- Organization
- Organization Name
- State Avenue Offices
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Aug 2, 2012
- Last Updated
- Oct 9, 2012
Practice Location
Authorized Official
- Name
- CAMILLA J CAFFERTY, LCPC
- Title
- OWNER
- Phone
- (208) 994-3599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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