| NPI | 1235895178 |
|---|---|
| Doing Business As | PHOENIX COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ELISE STAAB Owner/Counselor 208-717-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |