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Organization
BEACHSIDE COUNSELING LLC
Active
Organization
BEACHSIDE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BRADLEY LCPC, LMHCA, LAMFT (LICENSED PROFESSIONAL COUNSELOR)
(208) 274-3020
Entity
Organization
Contact information
Practice address
1250 W IRONWOOD DR STE 330, COEUR D ALENE, ID 83814-2682
(208) 964-4523
Mailing address
1250 W IRONWOOD DR STE 330, COEUR D ALENE, ID 83814-2682
(208) 274-3020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/24/2021
Last updated
10/14/2022
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