Pacific Wellness LLC

NPI #1881204741 in Hayden, Idaho

Provider Information

NPI Number: 1881204741
Entity Type: Organization
Organization Name: Pacific Wellness LLC
Primary Specialty: Social Worker
Enumeration Date: Aug 5, 2020
Last Updated: Oct 29, 2021

Practice Location

Address: 13403 N GOVERNMENT WAY UNIT 314
City: Hayden
State: Idaho
ZIP Code: 83835-8903
Phone: (208) 261-2028

Authorized Official

Name: ROBIN HAPPENY
Title: OWNER
Phone: (208) 261-2028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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