Eagle Health And Wellness, Inc

NPI 1083937049 - Counselor - 101Y00000X

NPI Details
NPI 1083937049
Enumeration Date 03/04/2010
Last Updated 03/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KATHERINE MICHELLE KATHERINE
Position PRESIDENT AND MEDICAL DIRECTOR
Phone (208) 938-4040
Fax (208) 938-4099
Practice Location
3771 N EAGLE RD
BOISE ID, 83713-5005, US
Phone (208) 938-4040
Fax (208) 938-4099
Business Location
3771 N EAGLE RD
BOISE ID, 83713-5005, US
Phone (208) 938-4040
Fax (208) 938-4099
Toxanomy
Taxonomy Code 101Y00000X
License State Idaho
License Number LCPC-2918
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According to our database, Eagle Health And Wellness, Inc NPI is 1083937049, taxonomy code is 101Y00000X and license number is LCPC-2918, license state is located at Idaho. Eagle Health And Wellness, Inc physically located at 3771 N Eagle Rd, Boise ID, 83713-5005. NPI Number 1033115704 has the healthcare provider type.

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1083937049 NPI number is provided on an as is basis without warranty of any kind. 1083937049 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Health And Wellness, Inc are for informational purposes only.