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NPI Code Detail

MEDICARE: FAMILY COUNSELING SERVICES

MEDICARE: FAMILY COUNSELING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyDDA-5341ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245782358
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY COUNSELING SERVICES
Provider Business Mailing Address
First Line : 1799 N LAKES PL
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-1833
Country : US
Telephone Number : 208-888-5905
Fax Number : 208-888-5513
Provider Business Practice Location Address
First Line : 1799 N LAKES PL
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-1833
Country : US
Telephone Number : 208-888-5905
Fax Number : 208-888-5513
Authorized Official
Title or Position : CEO
Name : JENNIFER BROWNING
Credential : LCPC
Telephone Number : 208-888-5905
Provider Enumeration Date : 10/25/2016
Last Update Date : 10/25/2016

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Directions to “FAMILY COUNSELING SERVICES ” Practice Location

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