Organization
ADA WEST COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAELA WHITEHEAD LCSW (OWNER)
(714) 261-0302
Entity
Organization
Contact information
Practice address
925 N MAIN ST, MERIDIAN, ID 83642-2301
(208) 649-4203
Mailing address
2022 E CHALLIS DR, MERIDIAN, ID 83646-7370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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