| NPI | 1275944498 |
|---|---|
| Doing Business As | CENTRAL IDAHO COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ERIC A MIKKELSEN Owner/Clinician 208-634-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-05-20 |