Organization
FULFILLING HOPE HUMAN SERVICES LLC
Active
Other names
Andrea McClure Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MCCLURE LCSW (OWNER)
(208) 252-5235
Entity
Organization
Contact information
Practice address
15464 N VERNON ST, RATHDRUM, ID 83858-8363
(208) 252-5235
(208) 292-6661
Mailing address
PO BOX 184, RATHDRUM, ID 83858-0184
(208) 252-5235
(208) 292-6661
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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