MR. Loren Raymond Caudle, LPC

NPI #1972943090 in Moscow, Idaho

Provider Information

NPI Number: 1972943090
Entity Type: Individual
Name: MR. Loren Raymond Caudle, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jul 3, 2013
Last Updated: Dec 29, 2020

Practice Location

Address: 127 S WASHINGTON ST STE 5
City: Moscow
State: Idaho
ZIP Code: 83843-2866
Phone: (208) 883-9927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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