Sequoia Counseling Services, Inc. | |
531 Bryden Ave Lewiston ID 83501-4438 | |
(208) 798-1646 | |
(208) 798-5568 |
Full Name | Sequoia Counseling Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 531 Bryden Ave, Lewiston, Idaho |
Authorized Official Name and Position | Fran Caradine (CLINICIAN OWNER) |
Authorized Official Contact | 2087981646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sequoia Counseling Services, Inc. Po Box 1895 531 Bryden Ave Lewiston ID 83501-1463 Ph: (208) 798-1646 | Sequoia Counseling Services, Inc. 531 Bryden Ave Lewiston ID 83501-4438 Ph: (208) 798-1646 |
NPI Number | 1386778959 |
---|---|
Provider Enumeration Date | 03/15/2007 |
Last Update Date | 10/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386778959 | NPI | - | NPPES |
806555100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 04-213476 (Idaho) | Primary |
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› Verified 5 days ago
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
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