Organization
CONFLUENCE COUNSELING AND EDUCATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAFAWN M HAMM LCSW (EXECUTIVE DIRECTOR)
(208) 798-5132
Entity
Organization
Contact information
Practice address
111 MAIN ST, SUITE 302, LEWISTON, ID 83501-2141
(208) 798-5132
(208) 798-5143
Mailing address
111 MAIN ST, SUITE 302, LEWISTON, ID 83501-2141
(208) 798-5132
(208) 798-5143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1109
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8066203
—
ID
Enumeration date
01/17/2007
Last updated
08/08/2008
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