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Organization

THE DIVINE LENGTHS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELIA THORNE LPC (CLINICAL DIRECTOR)
(208) 600-9207
Entity
Organization

Contact information

Practice address
824 17TH AVE S STE 5, NAMPA, ID 83651-4781
(208) 600-9207
Mailing address
824 17TH AVE S STE 5, NAMPA, ID 83651-4781
(208) 600-9207

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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