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Organization
TREASURE VALLEY MENTAL HEALTH, LLC
Active
Organization
TREASURE VALLEY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZANE P NELSON PH.D (OWNER/ PROVIDER)
(208) 376-1611
Entity
Organization
Contact information
Practice address
1475 S TYRELL LN, BOISE, ID 83706-4044
(208) 376-1611
(208) 658-1753
Mailing address
335 N ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 365-1611
(208) 658-1753
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
PSY84
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1680324
PTAN
ID
Enumeration date
01/16/2014
Last updated
01/16/2014
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