Organization
FAMILY PATHWAYS COOPERATIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEE YOUNG LCSW (PRESIDENT)
(208) 782-1322
Entity
Organization
Contact information
Practice address
34 LOUELLA ST, BLACKFOOT, ID 83221-1609
(208) 782-1322
(208) 782-1322
Mailing address
34 LOUELLA ST, BLACKFOOT, ID 83221-1609
(208) 782-1322
(208) 782-1322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805060200
—
ID
Enumeration date
04/18/2007
Last updated
04/02/2025
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