Clearwater Counseling

NPI 1003937962 - Social Worker - 104100000X

NPI Details
NPI 1003937962
Enumeration Date 04/02/2007
Last Updated 06/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK R MARK
Position OWNER
Phone (208) 882-9460
Fax (208) 746-7402
Practice Location
112 WEST 4TH #5
MOSCOW ID, 83843, US
Phone (208) 882-9460
Fax (208) 746-7402
Business Location
P.O. BOX 1123
LEWISTON ID, 83501, US
Phone (208) 743-8101
Fax (208) 746-7402
Toxanomy
Taxonomy Code 104100000X
License State
License Number
Remove 1003937962 NPI Number
 

According to our database, Clearwater Counseling NPI is 1003937962, taxonomy code is 104100000X Clearwater Counseling physically located at 112 West 4th #5, Moscow ID, 83843. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003937962 NPI number is provided on an as is basis without warranty of any kind. 1003937962 is maintained by the National Plan & Provider Enumeration System. The contents of Clearwater Counseling are for informational purposes only.