Organization
CDA WELLNESS
Active
Organization
CDA WELLNESS
Active
Other names
CDA Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KATIUSKA ALEXANDRA VESTMAN PMHNP (OWNER)
(208) 518-8111
Entity
Organization
Contact information
Practice address
6299 W ALLIANCE ST, RATHDRUM, ID 83858-0139
(208) 518-8111
(208) 599-9787
Mailing address
6299 W ALLIANCE ST, RATHDRUM, ID 83858-0139
(208) 518-8111
(208) 900-1075
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
05/19/2026
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