Organization
MOONLIGHT MEADOWS COUNSELING CENTER
Active
Other names
Moonlight Meadows Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE S KARLINSEY LCSW (OWNER/THERAPIST)
(208) 585-8086
Entity
Organization
Contact information
Practice address
639 N 2858 E, ROBERTS, ID 83444-5070
(208) 585-8086
Mailing address
639 N 2858 E, ROBERTS, ID 83444-5070
(208) 585-8086
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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