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Organization

AWARENESS CENTER FOR COUNSELING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA S ROBERTS LMFT (OWNER)
(208) 782-2060
Entity
Organization

Contact information

Practice address
199 W BRIDGE ST, BLACKFOOT, ID 83221-2704
(208) 782-2060
(208) 782-0209
Mailing address
PO BOX 1294, 199 W. BRIDGE ST., BLACKFOOT, ID 83221-1294
(208) 782-2060
(208) 782-0209

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
ID
251S00000X
Community/Behavioral Health Agency
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805932700
ID
Enumeration date
08/21/2007
Last updated
03/18/2026
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