Organization
CENTER COUNSELING, LLC
Active
Parent organization
CENTER COUNSELING, LLC
Other names
Center Counseling, LLC - Peer Support
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
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
01/13/2020
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