Organization
SEA LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHAPPEL LCPC (REGISTERED AGENT)
(208) 420-7852
Entity
Organization
Contact information
Practice address
128 LINCOLN ST, TWIN FALLS, ID 83301-5249
(208) 420-7852
Mailing address
128 LINCOLN ST, TWIN FALLS, ID 83301-5249
(208) 420-7852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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