institution
Active Change Center, Llc
Professional Counselor in Meridian, Idaho
NPI 1497028161

Active Change Center, Llc is a Professional Counselor based in Meridian, ID and is specialized in Professional. Active Change Center, Llc practices in Meridian, ID. The NPI Number for Active Change Center, Llc is 1497028161 and holds a License No. (Idaho).

The current practice location address for Active Change Center, Llc is 2498 N Stokesberry Pl., Meridian, ID and can be reached out via phone at 208-403-7488 and via fax at 208-529-1960. You can also correspond with Active Change Center, Llc through the mailing address at P.O. BOX 409, MERIDIAN, ID - 83680-0409 (mailing address contact number: 208-403-7488).

Location: 2498 N Stokesberry Pl., Meridian, ID, 83680-0409
institution
Provider Profile Details
NPI Number
1497028161
Provider Name
Active Change Center, Llc
Credential
Provider Entity Type
Organization
Address
2498 N Stokesberry Pl., Meridian, ID, 83680-0409
Phone Number
208-403-7488
Fax Number
208-529-1960
Provider Enumeration Date
02/10/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2498 N Stokesberry Pl.
City
State
Zip
83646
Phone Number
208-403-7488
Fax Number
208-529-1960
person
Provider Business Mailing Address Details
Address
2498 N Stokesberry Pl.
City
State
Zip
83646
Phone Number
208-403-7488
Fax Number
208-529-1960
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC206 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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