Organization
NURTURE YOUR SOUL COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE MALLIKA EWAN LMFT (THERAPIST)
(909) 263-9964
Entity
Organization
Contact information
Practice address
5114 DANVILLE ST, CALDWELL, ID 83605-5987
(909) 263-9964
Mailing address
10673 W LAKE HAZEL RD # 1001, BOISE, ID 83709-5453
(909) 263-9964
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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