Organization
GENESIS ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CORNELIUS M.S., M.A. LCPC (DIRECTOR OF COUNSELING)
(208) 664-1606
Entity
Organization
Contact information
Practice address
421 E COEUR DALENE AVE, SUITE 2, COEUR D ALENE, ID 83814-1704
(208) 664-1606
(208) 664-9685
Mailing address
PO BOX 1677, COEUR D ALENE, ID 83816-1677
(208) 664-1606
(208) 664-9685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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