Organization
CENTER COUNSELING, LLC
Active
Parent organization
CENTER COUNSELING LLC
Other names
Center Counseling LLC Crossover
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER COUNSELING LLC
Authorized official
DEBORAH ARLENE GOSS (CREDENTIALING SPECIALIST)
(208) 221-1161
Entity
Organization
Contact information
Practice address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Mailing address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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