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Organization
ALLIANCE FAMILY SERVICES
Active
Organization
ALLIANCE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LANGE (DIRECTOR)
(208) 265-8195
Entity
Organization
Contact information
Practice address
186 E MAIN ST STE 4, FERNLEY, NV 89408-7717
(775) 575-9889
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-8195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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