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Organization
NORTH IDAHO COUNSELING CENTER
Active
Organization
NORTH IDAHO COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NESTOR-GRAY (OWNER)
(951) 751-7175
Entity
Organization
Contact information
Practice address
8596 N WAYNE DR, HAYDEN, ID 83835-5068
(951) 751-7175
Mailing address
PO BOX 1061, ATHOL, ID 83801-1061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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