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Organization
WATERSHED WELLNESS, LLC
Active
Organization
WATERSHED WELLNESS, LLC
Active
Other names
WATERSHED WELLNESS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BARTH LCPC (OWNER)
(208) 304-1102
Entity
Organization
Contact information
Practice address
120 E LAKE ST STE 205, SANDPOINT, ID 83864-1366
(208) 304-1102
Mailing address
417 S LAVINA AVE, SANDPOINT, ID 83864-1144
(208) 304-1102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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