Organization
SHAWN BRILEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY NEY (BILLING MANAGER)
(208) 455-1400
Entity
Organization
Contact information
Practice address
321 N 3RD ST, MCCALL, ID 83638-4439
(208) 634-2979
Mailing address
PO BOX 455, COUNCIL, ID 83612-0455
(208) 455-1400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28826
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N545
BLUE CROSS
—
Enumeration date
10/02/2008
Last updated
10/02/2008
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