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Organization

PLAY THERAPY HOUSE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAILEE MCMAHON LCPC (REGISTERED AGENT)
(208) 407-1180
Entity
Organization

Contact information

Practice address
3829 W CATALINA RD, BOISE, ID 83705-4611
(208) 407-3562
Mailing address
PO BOX 5791, BOISE, ID 83705-0791
(208) 407-1180

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6860
ID

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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