Organization
A TO Z COUNSELING CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL L VOLLMER LSW (OWNER)
(435) 730-0731
Entity
Organization
Contact information
Practice address
1 E 100 N, MALAD CITY, ID 83252-1230
(435) 730-0731
Mailing address
1 E 100 N, MALAD CITY, ID 83252-1230
(435) 730-0731
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LSW-28623
ID
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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