Organization
EDGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A GIFFORD CADC (SUD COUNSELOR / OWNER)
(208) 996-2752
Entity
Organization
Contact information
Practice address
2976 E STATE ST STE, EAGLE, ID 83616-6394
(208) 996-2752
Mailing address
2976 E STATE ST STE, EAGLE, ID 83616-6394
(208) 996-2752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
04/04/2024
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