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Organization
PACIFIC NORTHWEST COUNSELING
Active
Organization
PACIFIC NORTHWEST COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE HAYNES LMFT (OWNER)
(949) 259-3980
Entity
Organization
Contact information
Practice address
3404 E TUSA CT, MERIDIAN, ID 83642
(949) 259-3980
(208) 286-2332
Mailing address
10400 W OVERLAND RD # 307, BOISE, ID 83709-1433
(949) 259-3980
(208) 286-2332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407244122
NPI1
—
Enumeration date
04/14/2022
Last updated
04/14/2022
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