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General NPI Number Information
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NPI Number | 1215365523
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Entity Type | Organization
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Legal Business Name | TAMARACK TREATMENT AND COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 710 W SUPERIOR ST STE C
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City | SANDPOINT
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State | ID
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Zip | 83864-1684
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Country | US
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Telephone | 208-263-5551
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Fax | 208-255-4476
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Provider Business Mailing Address
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Address Line | 710 W SUPERIOR ST STE C
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City | SANDPOINT
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State | ID
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Zip | 83864-1684
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Country | US
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Telephone | 208-263-5551
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Fax | 208-255-4476
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Authorized Official
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Title or Position | OWNER
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Name | JANICE STEVENS
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Credential |
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Telephone | 208-263-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCPC-4183
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License Number State | ID
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