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Organization
COMMUNITY SERVICES COUNSELING
Active
Organization
COMMUNITY SERVICES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HARDZIEJ (OWNER/DIRECTOR)
(208) 880-1199
Entity
Organization
Contact information
Practice address
963 S ORCHARD ST STE B, BOISE, ID 83705-1962
(208) 336-6792
Mailing address
963 S ORCHARD ST STE B, BOISE, ID 83705-1962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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