Organization
PALADIN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF K WILLIAMS LCSW (OWNER)
(208) 659-3527
Entity
Organization
Contact information
Practice address
1042 W MILL AVE, # 205, COEUR D ALENE, ID 83814-2489
(208) 659-3527
(208) 292-4544
Mailing address
1042 W MILL AVE, # 205, COEUR D ALENE, ID 83814-2489
(208) 659-3527
(208) 292-4544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW26516
ID
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCSW-26516
ID
Other
Enumeration date
01/07/2011
Last updated
11/05/2013
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