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Organization

NORTHERN STAR HEALING, PLLC

Active
Other names
Northern Star Healing, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ELI NOVAK PHD, LCAC, LCSW (OWNER)
(208) 794-0048
Entity
Organization

Contact information

Practice address
1530 FAIRWAY STREET, MOUNTAIN HOME, ID 83647
(208) 794-0048
(855) 471-0759
Mailing address
1530 FAIRWAY STREET, MOUNTAIN HOME, ID 83647
(208) 794-0048
(855) 471-0759

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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