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Mr. Loren Raymond Caudle, LPC
Professional Counselor in Moscow, Idaho
NPI 1972943090

Loren Raymond Caudle is a Professional Counselor based in Moscow, ID and is specialized in Professional. Loren Raymond Caudle practices in Moscow, ID and has the professional credentials of LPC. The NPI Number for Loren Raymond Caudle is 1972943090 and holds a License No. CL60200343 (Idaho).

The current practice location address for Loren Raymond Caudle is 127 S Washington St Ste 5, Moscow, ID and can be reached out via phone at 208-883-9927 and via fax at 208-883-9935.

Location: 127 S Washington St Ste 5, Moscow, ID, 83843-2866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972943090
Provider Name
Loren Raymond Caudle
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
127 S Washington St Ste 5, Moscow, ID, 83843-2866
Phone Number
208-883-9927
Fax Number
208-883-9935
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
127 S Washington St Ste 5
City
Moscow
State
Idaho
Zip
83843-2866
Phone Number
208-883-9927
Fax Number
208-883-9935
person
Provider Business Mailing Address Details
Address
127 S Washington St Ste 5
City
Moscow
State
Idaho
Zip
83843-2866
Phone Number
208-883-9927
Fax Number
208-883-9935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC7663 (Idaho)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
507297 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CL60200343 (Washington)
Definition
Definition to come...
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