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Pro Active Advantage, Llc
Counselor in Gooding, Idaho
NPI 1366562316

Pro Active Advantage, Llc is a Counselor based in Gooding, ID. Pro Active Advantage, Llc practices in Gooding, ID. The NPI Number for Pro Active Advantage, Llc is 1366562316 and holds a License No. (Idaho).

The current practice location address for Pro Active Advantage, Llc is 215 University Dr, Gooding, ID and can be reached out via phone at 208-934-5880 and via fax at 208-934-5876. You can also correspond with Pro Active Advantage, Llc through the mailing address at 215 UNIVERSITY DR, GOODING, ID - 83330-6155 (mailing address contact number: 208-934-5880).

Location: 215 University Dr, Gooding, ID, 83330-6155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366562316
Provider Name
Pro Active Advantage, Llc
Credential
Provider Entity Type
Organization
Address
215 University Dr, Gooding, ID, 83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8063821 05 ID
institution
Provider Business Practice Location Address Details
Address
215 University Dr
City
Gooding
State
Idaho
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider Business Mailing Address Details
Address
215 University Dr
City
Gooding
State
Idaho
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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