Organization
CALDWELL COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDELL V. JACKSON LCPC (OWNER COUNSELOR)
(208) 880-6127
Entity
Organization
Contact information
Practice address
2020 BLAINE ST, CALDWELL, ID 83605-4343
(208) 880-6127
(208) 455-6244
Mailing address
2020 BLAINE ST, CALDWELL, ID 83605-4343
(208) 880-6127
(208) 455-6244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC234
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016363
REGENCE BLUE SHIELD OF ID
ID
01
—
Q1109
BLUE CROSS OF ID
ID
Enumeration date
11/29/2006
Last updated
08/22/2020
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