| NPI | 1720894231 |
|---|---|
| Doing Business As | BARK & MOSS COUNSELING GROUP |
| Entity Type | Organization |
| Authorized Contact | VALERIE ANNETTE LAMKE Director/Principal 208-559-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-13 |