NPI | 1285094748 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC F. JONES President 208-731-7178 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-32) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-32) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-32) | |
106H00000X Marriage & Family Therapist (Licence: ID LMFT--2) | |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |