LAKE CITY COUNSELING CENTER LLC

HAYDEN, ID
NPI1720513963
Entity TypeOrganization
Authorized ContactJENNIFER RIAN TUTTLE
Owner
208-819-2716
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2017-04-25
Last Update Date2020-07-06
Business Address
LAKE CITY COUNSELING CENTER LLC
9705 N SHAW ST
HAYDEN, ID 83835-9716
Phone number: 208-625-9981
Mailing Address
LAKE CITY COUNSELING CENTER LLC
9705 N SHAW ST
HAYDEN, ID 83835-9716
Phone number: 208-819-2716
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