Still Waters Refuge LLC

NPI #1962210328 in Ammon, Idaho

Provider Information

NPI Number: 1962210328
Entity Type: Organization
Organization Name: Still Waters Refuge LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 1329 AMMON PARK DR
City: Ammon
State: Idaho
ZIP Code: 83406-4591
Phone: (208) 569-8599

Authorized Official

Name: SHELBY WHITING, LPC
Title: OWNER
Phone: (208) 569-8599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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