Organization
PRESTON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM S MITCHELL PH.D. (DIRECTOR)
(208) 852-2407
Entity
Organization
Contact information
Practice address
15 E ONEIDA ST, PRESTON, ID 83263-1351
(208) 852-2407
(877) 650-7823
Mailing address
PO BOX 95, PRESTON, ID 83263-0095
(208) 852-2407
(877) 650-7823
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT 3111
ID
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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