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1366099236
AVALON COUNSELING, LLC
COEUR D ALENE, ID
NPI
1366099236
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Entity Type
Organization
Authorized Contact
LONNIE M STAPP
Clinical Director
208-771-5911
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-08-24
Last Update Date
2019-08-24
Business Address
AVALON COUNSELING, LLC
1250 W IRONWOOD DR STE 303
COEUR D ALENE, ID 83814-2682
Phone number: 208-366-5053
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Mailing Address
AVALON COUNSELING, LLC
1250 W IRONWOOD DR STE 303
COEUR D ALENE, ID 83814-2682
Phone number: 208-771-5911
Copy
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