Organization
AZURE RIVER WELLNESS, COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER ANN MCCLEAFT LCSW (COUNSELOR/CEO)
(208) 795-3377
Entity
Organization
Contact information
Practice address
1524 W HAYS ST STE 202, BOISE, ID 83702-4035
(208) 598-0372
Mailing address
6864 LAMPLIGHTER ST, BOISE, ID 83714-2443
(208) 598-0372
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
12/19/2020
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