Organization
MOUNTAIN SAGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANNE DAVIS LPC (OWNER)
(208) 590-7277
Entity
Organization
Contact information
Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 515-7661
Mailing address
1438 E STORMY DR, MERIDIAN, ID 83646-3497
(120) 859-0727
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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