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Organization

SAFE HARBOR COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MARIE FRAZIER LPC, LMFT (OWNER/MANAGER)
(757) 645-7722
Entity
Organization

Contact information

Practice address
206 W IRONWOOD DR # 1012, COEUR D ALENE, ID 83814-2640
(757) 645-7722
(757) 645-2808
Mailing address
206 W IRONWOOD DR # 1012, COEUR D ALENE, ID 83814-2640
(757) 645-7722
(757) 645-2808

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005793
VA
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
0717001312
VA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
07/01/2016
Last updated
04/26/2024
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