Organization
MARK R JONES DBA CLEARWATER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R JONES LCSW (OWNER)
(208) 943-8101
Entity
Organization
Contact information
Practice address
1020 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-8101
(208) 746-7402
Mailing address
1020 MAIN, LEWISTON, ID 83504-1842
(208) 743-8101
(208) 746-7402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143998
BLUE CROSS BLUESHIELD
ID
01
—
010100018983
REGENCE BLUESHEILD
ID
05
—
805879700
—
ID
05
—
807346600
—
ID
05
—
807347200
—
ID
05
—
807373700
—
ID
01
—
8H492
BLUE CROSS OF IDAHO
ID
Enumeration date
10/19/2006
Last updated
07/21/2022
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