Canopy Behavioral Health, Pllc

NPI #1861962698 in Meridian, Idaho

Provider Information

NPI Number: 1861962698
Entity Type: Organization
Organization Name: Canopy Behavioral Health, Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 5, 2018
Last Updated: Sep 26, 2024

Practice Location

Address: 750 W USTICK RD STE 120
City: Meridian
State: Idaho
ZIP Code: 83646-6133
Phone: (208) 273-9521

Authorized Official

Name: MR. JOHN WILLIAM SZUDERA, MS, LMFT, LCPC
Title: OWNER/CLINICAL DIRECTOR
Phone: (208) 273-9521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Marriage & Family Therapist	106H00000X
Counselor - Professional — Professional	101YP2500X	Primary

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