Organization
VIRGINIA SPACKMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L SPACKMAN M.ED, LCPC (OWNER)
(208) 409-3050
Entity
Organization
Contact information
Practice address
1068 OWYHEE ST, KUNA, ID 83634-2206
(208) 409-3050
Mailing address
1068 OWYHEE ST, KUNA, ID 83634-2206
(208) 409-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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