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Organization

A PLUS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA M. BEDKE LMFT (OWNER/ADMINISTRATOR)
(208) 678-3555
Entity
Organization

Contact information

Practice address
2311 PARK AVE, UNIT 3 SUITE 12, BURLEY, ID 83318-2170
(208) 678-3555
(208) 678-3556
Mailing address
PO BOX 969, BURLEY, ID 83318-0969
(208) 678-3555
(208) 678-3556

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCP-3224
ID
101YM0800X
Mental Health Counselor
LCPC-3489
ID
101YM0800X
Mental Health Counselor
LCPC-3490
ID
104100000X
Social Worker
LMSW-26630
ID
104100000X
Social Worker
LMSW-27196
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-2792
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806112300
ID
05
806167000
ID
05
806247400
ID
01
8L717
BLUE CROSS
ID
Enumeration date
08/24/2006
Last updated
07/28/2010
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