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Organization

ACCESS BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICCOLIA L TANGEN (OWNER)
(208) 713-2424
Entity
Organization

Contact information

Practice address
1276 W. RIVER ST, SUITE 100, BOISE, ID 83702
(208) 338-4699
(208) 322-4722
Mailing address
1276 W RIVER ST, SUITE 100, BOISE, ID 83702
(208) 338-4699
(208) 322-4722

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807021100
ID
Enumeration date
08/04/2006
Last updated
04/26/2012
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