Organization
TREASURE VALLEY NEUROTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JORDAN MA, LCPC, LMHC (CLINICAL DIRECTOR)
(208) 631-1089
Entity
Organization
Contact information
Practice address
1677 E MILES AVE STE 100, HAYDEN LAKE, ID 83835-9154
(208) 631-1089
Mailing address
1869 E SELTICE WAY # 334, POST FALLS, ID 83854-7019
(208) 631-1089
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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