Organization
BODHICITTA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG LIPPERT LCPC (OWNER)
(208) 929-6845
Entity
Organization
Contact information
Practice address
250 NORTHWEST BLVD, COEUR D ALENE, ID 83814-2974
(208) 929-6845
Mailing address
9030 N HESS ST # 104, HAYDEN, ID 83835-9827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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