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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

NPI # 1003937962
LBN Legal business name CLEARWATER COUNSELING
Authorized official MARK JONES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2007
Last updated 06/11/2008 - About 18 years ago
Identifiers
ID Medicaid 8073472
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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