Organization
CULTIVATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLY IRELAND (OFFICE MANAGER/ADMIN SUPERVISOR)
(208) 699-6817
Entity
Organization
Contact information
Practice address
211 E. COEUR DALENE AVE. STE 102, COEUR D'ALENE, ID 83814
(208) 699-6817
(208) 620-2306
Mailing address
211 E. COEUR DALENE AVE. STE 102, COEUR D'ALENE, ID 83814
(208) 699-6817
(208) 620-2306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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