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Powder Basin Associates
Mental Health Counselor in Kellogg, Idaho
NPI 1811154883

Powder Basin Associates is a Mental Health Counselor based in Coeur D Alene, ID and is specialized in Mental Health. Powder Basin Associates practices in Kellogg, ID. The NPI Number for Powder Basin Associates is 1811154883 and holds a License No. (Idaho).

The current practice location address for Powder Basin Associates is 204 Oregon St, Kellogg, ID and can be reached out via phone at 208-783-0427 and via fax at 208-783-1387.

Location: 204 Oregon St, Kellogg, ID, 83815-5041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811154883
Provider Name
Powder Basin Associates
Credential
Provider Entity Type
Organization
Address
204 Oregon St, Kellogg, ID, 83815-5041
Phone Number
208-783-0427
Fax Number
208-783-1387
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
807372900 05 ID
institution
Provider Business Practice Location Address Details
Address
204 Oregon St
City
Kellogg
State
Idaho
Zip
83837-5008
Phone Number
208-783-0427
Fax Number
208-783-1387
person
Provider Business Mailing Address Details
Address
204 Oregon St
City
Kellogg
State
Idaho
Zip
83837-5008
Phone Number
208-783-0427
Fax Number
208-783-1387
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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