Organization
SUMMIT COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BLAU (OWNER)
(435) 994-0508
Entity
Organization
Contact information
Practice address
655 S 4TH E STE 104, PRESTON, ID 83263-1616
(435) 994-0508
Mailing address
655 S 4TH E STE 104, PRESTON, ID 83263-1616
(435) 994-0508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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