Organization
ALWAYS A CHILD COUNSELING CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MOONEY LPC (LICENSED PROFESSIONAL COUNSELOR)
(208) 731-6347
Entity
Organization
Contact information
Practice address
3619 N 3400 E, KIMBERLY, ID 83341-5288
(208) 731-6347
Mailing address
PO BOX 95, KIMBERLY, ID 83341-0095
(208) 731-6347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-4925
ID
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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