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1841470887
CENTRAL MOUNTAINS COUNSELING, PLLC
MCCALL, ID
NPI
1841470887
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Entity Type
Organization
Authorized Contact
JACOB W. WILSON
Owner/Clinician
208-630-4040
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: ID LCSW-30132)
Enumeration Date
2007-11-07
Last Update Date
2016-01-18
Business Address
CENTRAL MOUNTAINS COUNSELING, PLLC
301 DEINHARD LN
MCCALL, ID 83638-4703
Phone number: 208-630-4040
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Mailing Address
CENTRAL MOUNTAINS COUNSELING, PLLC
PO BOX 2553
MCCALL, ID 83638-2553
Phone number: 208-630-4040
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