Organization
HEART AT PEACE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEDIDIAH DYKSTRA LMFT (OWNER)
(208) 590-5739
Entity
Organization
Contact information
Practice address
2596 N STOKESBERRY PL STE 180, MERIDIAN, ID 83646-6282
(208) 590-5739
Mailing address
2596 N STOKESBERRY PL STE 180, MERIDIAN, ID 83646-6282
(208) 590-5739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972043966
NPPES
—
Enumeration date
12/06/2023
Last updated
05/09/2024
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