Organization
COMMUNITY OUTREACH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA S. MARCOTTE LMSW (OWNER)
(208) 466-7443
Entity
Organization
Contact information
Practice address
2707 GARRITY BLVD STE 5, NAMPA, ID 83687-3679
(208) 466-7443
(208) 466-5058
Mailing address
2707 GARRITY BLVD STE 5, NAMPA, ID 83687-3679
(208) 466-7443
(208) 466-5058
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
26327
ID
261QM0850X
Adult Mental Health Clinic/Center
26327
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807120900
—
ID
05
—
807197500
—
ID
05
—
807404500
—
ID
Enumeration date
05/29/2007
Last updated
06/20/2008
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