# PACIFIC NORTHWEST COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396488805
- **Authorized official:** MICHELE HAYNES LMFT (OWNER)
- **Authorized official phone:** (949) 259-3980

## Contact information

- **Practice address:** 3404 E TUSA CT, MERIDIAN, ID 83642
- **Practice address phone:** (949) 259-3980
- **Practice address fax:** (208) 286-2332
- **Mailing address:** 10400 W OVERLAND RD \# 307, BOISE, ID 83709-1433
- **Mailing address phone:** (949) 259-3980
- **Mailing address fax:** (208) 286-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2022
- **Last updated:** 04/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407244122 | NPI1 | — |