Organization
CATALYST COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVALON DERLACKI PRENTISS LPC (OWNER)
(208) 207-8889
Entity
Organization
Contact information
Practice address
1015 W HAYS ST STE 102, BOISE, ID 83702-5412
(208) 207-8889
Mailing address
1015 W HAYS ST STE 102, BOISE, ID 83702-5412
(208) 207-8889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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