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Contact Information

CLEARWATER COUNSELING
112 WEST 4TH #5
MOSCOW, ID83843
 Phone: 208-882-9460
 Fax: 208-746-7402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CLEARWATER COUNSELING · (Female)

NPI # 1003937962
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2007
Last updated 06/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 8073472
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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