Organization
TELEHEALTH COUNSELING OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN L ROGERS LPC (OWNER, LPC)
(208) 409-7960
Entity
Organization
Contact information
Practice address
300 CREEKSIDE PL, NAMPA, ID 83686-8128
(208) 391-3544
Mailing address
300 CREEKSIDE PL, NAMPA, ID 83686-8128
(208) 391-3544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
08/21/2023
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