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Poot Counseling, Llc
Psychiatric/Mental Health Nurse Practitioner in Hayden, Idaho
NPI 1255845939

Poot Counseling, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Hayden, ID and is specialized in Psychiatric/Mental Health. Poot Counseling, Llc practices in Hayden, ID. The NPI Number for Poot Counseling, Llc is 1255845939 and holds a License No. LH00005703 (Idaho).

The current practice location address for Poot Counseling, Llc is 1286 W Leisure Dr, Hayden, ID and can be reached out via phone at 360-421-2520.

Location: 1286 W Leisure Dr, Hayden, ID, 83835-8834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255845939
Provider Name
Poot Counseling, Llc
Credential
Provider Entity Type
Organization
Address
1286 W Leisure Dr, Hayden, ID, 83835-8834
Phone Number
360-421-2520
Fax Number
Provider Enumeration Date
11/16/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013912385 01 NPI
institution
Provider Business Practice Location Address Details
Address
1286 W Leisure Dr
City
Hayden
State
Idaho
Zip
83835-8834
Phone Number
360-421-2520
Fax Number
person
Provider Business Mailing Address Details
Address
1286 W Leisure Dr
City
Hayden
State
Idaho
Zip
83835-8834
Phone Number
360-421-2520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
AP30006966 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
LH00005703 (Washington)
Definition
Definition to come...
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