Tamarack Treatment And Counseling Center, Pllc | |
101 N. Boyer Ave Sandpoint ID 83864 | |
(208) 263-5551 | |
(208) 255-4476 |
Full Name | Tamarack Treatment And Counseling Center, Pllc |
---|---|
Speciality | Counselor |
Location | 101 N. Boyer Ave, Sandpoint, Idaho |
Authorized Official Name and Position | Janice Rene Miller (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2082635551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tamarack Treatment And Counseling Center, Pllc Po Box 985 Sandpoint ID 83864 Ph: (208) 263-5551 | Tamarack Treatment And Counseling Center, Pllc 101 N. Boyer Ave Sandpoint ID 83864 Ph: (208) 263-5551 |
NPI Number | 1215365523 |
---|---|
Provider Enumeration Date | 10/23/2013 |
Last Update Date | 10/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215365523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LCPC-4183 (Idaho) | Primary |
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