institution
Peregrine Corp, Pc
Mental Health Counselor in Priest River, Idaho
NPI 1093040917

Peregrine Corp, Pc is a Mental Health Counselor based in Priest River, ID and is specialized in Mental Health. Peregrine Corp, Pc practices in Priest River, ID. The NPI Number for Peregrine Corp, Pc is 1093040917 and holds a License No. LCPC - 139 (Idaho).

The current practice location address for Peregrine Corp, Pc is 37 Highway 57, Priest River, ID and can be reached out via phone at 208-448-4855 and via fax at 208-448-2467.

Location: 37 Highway 57, Priest River, ID, 83856-0205
institution
Provider Profile Details
NPI Number
1093040917
Provider Name
Peregrine Corp, Pc
Credential
Provider Entity Type
Organization
Address
37 Highway 57, Priest River, ID, 83856-0205
Phone Number
208-448-4855
Fax Number
208-448-2467
Provider Enumeration Date
10/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807375500 05 ID
Q2776 01 BLUE CROSS OF IDAHO
000010016976 01 REGENCE BLUESHIELD
807348800 05 ID
institution
Provider Business Practice Location Address Details
Address
37 Highway 57
City
State
Zip
83856-6559
Phone Number
208-448-4855
Fax Number
208-448-2467
person
Provider Business Mailing Address Details
Address
37 Highway 57
City
State
Zip
83856-6559
Phone Number
208-448-4855
Fax Number
208-448-2467
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC - 139 (Idaho)
Definition
Definition to come...
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