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NPI Code Detail

MEDICARE: CALEY FEATHERSTONE M.S.

MEDICARE: CALEY FEATHERSTONE M.S.
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorIDLCPC-7520ID
3101YM0800XMental Health CounselorLPC-6626ID

General Provider Information

NPI Number : 1629501788
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALEY FEATHERSTONE M.S.
Provider Business Mailing Address
First Line : 5418 N EAGLE RD STE 160
Second Line :
City : BOISE
State : ID
Zip : 83713-0100
Country : US
Telephone Number : 541-844-3577
Fax Number :
Provider Business Practice Location Address
First Line : 5418 N EAGLE RD STE 160
Second Line :
City : BOISE
State : ID
Zip : 83713-0100
Country : US
Telephone Number : 541-844-3577
Fax Number : 208-288-5779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 02/21/2024

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Directions to “ CALEY FEATHERSTONE M.S.” Practice Location

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