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Contact Information

WHITETAIL TREATMENT AND COUNSELING LLC
925 N MAIN ST STE D
MERIDIAN, ID83642-2301
 Phone: 208-907-5322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for WHITETAIL TREATMENT AND COUNSELING LLC · (Female)

NPI Number 1528704350
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2022
Last updated 05/05/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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