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Lake City Counseling Center
Peer Specialist in Hayden, Idaho
NPI 1356981419

Lake City Counseling Center is a Peer Specialist based in Hayden, ID. Lake City Counseling Center practices in Hayden, ID. The NPI Number for Lake City Counseling Center is 1356981419 and holds a License No. (Idaho).

The current practice location address for Lake City Counseling Center is 9705 N Shaw St, Hayden, ID and can be reached out via phone at 208-625-9981.

Location: 9705 N Shaw St, Hayden, ID, 83835-9716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356981419
Provider Name
Lake City Counseling Center
Credential
Provider Entity Type
Organization
Address
9705 N Shaw St, Hayden, ID, 83835-9716
Phone Number
208-625-9981
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720513963 05 ID
institution
Provider Business Practice Location Address Details
Address
9705 N Shaw St
City
Hayden
State
Idaho
Zip
83835-9716
Phone Number
208-625-9981
Fax Number
person
Provider Business Mailing Address Details
Address
9705 N Shaw St
City
Hayden
State
Idaho
Zip
83835-9716
Phone Number
208-625-9981
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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