Lake City Counseling Center

NPI #1972143048 in Hayden, Idaho

Provider Information

NPI Number
1972143048
Entity Type
Organization
Organization Name
Lake City Counseling Center
Primary Specialty
Community/Behavioral Health
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
Community/Behavioral Health

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