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General NPI Number Information
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NPI Number | 1689397804
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Entity Type | Organization
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Legal Business Name | NORTHWEST COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 109 W HONEYSUCKLE AVE
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City | HAYDEN
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State | ID
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Zip | 83835-9934
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Country | US
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Telephone | 208-816-0069
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1308
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City | HAYDEN
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State | ID
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Zip | 83835-1308
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Country | US
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Telephone | 208-553-7930
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | CHERISH HILL
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Credential | LMSW
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Telephone | 208-553-7930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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