Organization
CENTER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN CALDER MASTERS (CHIEF OPERATIONS OFFICER)
(208) 237-1711
Entity
Organization
Contact information
Practice address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Mailing address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW27665
ID
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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