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Organization

CORE COUNSELING CENTER

Active
Other names
Tim Koberlein LMSW
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY L KOBERLEIN LMSW (LICENSED MASTER SOCIAL WORKER)
(208) 467-2673
Entity
Organization

Contact information

Practice address
847 PARKCENTRE WAY STE 6&7, NAMPA, ID 83651-1792
(208) 467-2673
(208) 467-4150
Mailing address
847 PARKCENTRE WAY STE 6&7, NAMPA, ID 83651-1792
(208) 467-2673
(208) 467-4150

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30016
ID

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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