Organization
COUNSELING ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA YANCEY LCSW (OWNER)
(208) 938-4764
Entity
Organization
Contact information
Practice address
742 E STATE STREET, SUITE 160, EAGLE, ID 83616
(208) 938-4764
(208) 323-9070
Mailing address
PO BOX 1685, EAGLE, ID 83616-9104
(208) 938-4764
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142980
REGENCE BLUE SHIELD OF ID
ID
01
—
8F686
BLUE CROSS OF IDAHO
ID
Enumeration date
02/13/2007
Last updated
08/22/2020
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