Organization
POOT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY DALE POOT ARNP (CO-OWNER)
(360) 421-2520
Entity
Organization
Contact information
Practice address
1286 W LEISURE DR, HAYDEN, ID 83835-8834
(360) 421-2520
Mailing address
1286 W LEISURE DR, HAYDEN, ID 83835-8834
(360) 421-2520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LH00005703
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013912385
NPI
—
Enumeration date
11/16/2017
Last updated
01/20/2023
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