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Organization
GENHEALER LLC
Active
Organization
GENHEALER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL NIELSON LCPC (OFFICE MANAGER)
(208) 290-0075
Entity
Organization
Contact information
Practice address
517 S 10TH AVE, CALDWELL, ID 83605-4158
(208) 290-0075
Mailing address
14331 CREGO ST, CALDWELL, ID 83607-4815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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