Organization
PINE CREEK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN WEBB LCPC (OWNER)
(512) 639-4454
Entity
Organization
Contact information
Practice address
85 S MAIN ST STE 4, DRIGGS, ID 83422-9702
(512) 639-4454
Mailing address
1310 BUCKSKIN LOOP, VICTOR, ID 83455-1327
(512) 639-4454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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