Organization
NICOLE BERENGER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BERENGER (LCPC)
(208) 963-8132
Entity
Organization
Contact information
Practice address
4346 W ROSE HILL ST STE C, BOISE, ID 83705-5193
(208) 963-8132
(208) 203-0942
Mailing address
4346 W ROSE HILL ST STE C, BOISE, ID 83705-5193
(208) 963-8132
(208) 203-0942
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285128124
—
ID
Enumeration date
01/27/2022
Last updated
10/28/2022
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