Sequel Alliance Family Services, Llc | |
6334 Main St Bonners Ferry ID 83805-8519 | |
(208) 267-0780 | |
(208) 267-7941 |
Full Name | Sequel Alliance Family Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 6334 Main St, Bonners Ferry, Idaho |
Authorized Official Name and Position | Mary E Caudle (CBO DIRECTOR OF PATIENT ACCOUNTS) |
Authorized Official Contact | 2568803339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sequel Alliance Family Services, Llc 1131 Eagletree Ln Sw Huntsville Huntsville AL 35801-6478 Ph: (256) 880-3339 | Sequel Alliance Family Services, Llc 6334 Main St Bonners Ferry ID 83805-8519 Ph: (208) 267-0780 |
NPI Number | 1235552431 |
---|---|
Provider Enumeration Date | 01/24/2014 |
Last Update Date | 01/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235552431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | W132383 (Idaho) | Primary |
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