Lake City Counseling Center

NPI #1962042036 in Hayden, Idaho

Provider Information

NPI Number: 1962042036
Entity Type: Organization
Organization Name: Lake City Counseling Center
Primary Specialty: Case Management
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 9705 N SHAW ST
City: Hayden
State: Idaho
ZIP Code: 83835-9716
Phone: (208) 625-9981

Authorized Official

Name: JENNIFER RIAN TUTTLE
Title: OWNER
Phone: (208) 819-2716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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