Organization
PROACTIVE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MCKEE LCSW (OWNER)
(208) 233-5433
Entity
Organization
Contact information
Practice address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
(877) 284-2783
Mailing address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
(877) 284-2783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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