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Organization

SANDPOINT PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELEANOR RAND GURELY LCSW,DAPA (OWNER AND LEAD CLINICIAN)
(208) 263-5393
Entity
Organization

Contact information

Practice address
506 N 4TH AVE, SANDPOINT, ID 83864-1513
(208) 263-5393
(208) 265-2301
Mailing address
506 N 4TH AVE, SANDPOINT, ID 83864-1513
(208) 263-5393
(208) 265-2301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-1358
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806654400
ID
Enumeration date
04/03/2007
Last updated
05/21/2008
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