institution
Living Water Youth Ranch
Mental Health Counselor in Hayden, Idaho
NPI 1528795093

Living Water Youth Ranch is a Mental Health Counselor based in Hayden, ID and is specialized in Mental Health. Living Water Youth Ranch practices in Hayden, ID. The NPI Number for Living Water Youth Ranch is 1528795093 and holds a License No. (Idaho).

The current practice location address for Living Water Youth Ranch is 8382 N Wayne Dr Ste 201, Hayden, ID and can be reached out via phone at 208-762-8777.

Location: 8382 N Wayne Dr Ste 201, Hayden, ID, 83835-6028
institution
Provider Profile Details
NPI Number
1528795093
Provider Name
Living Water Youth Ranch
Credential
Provider Entity Type
Organization
Address
8382 N Wayne Dr Ste 201, Hayden, ID, 83835-6028
Phone Number
208-762-8777
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8382 N Wayne Dr Ste 201
City
State
Zip
83835-6028
Phone Number
208-762-8777
Fax Number
person
Provider Business Mailing Address Details
Address
8382 N Wayne Dr Ste 201
City
State
Zip
83835-6028
Phone Number
208-762-8777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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