| NPI | 1821766551 |
|---|---|
| Doing Business As | INTEGRATED COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LUKE SCOTT EINERSON President/CEO 208-357-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-10-11 |