Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1568251072 |
| LBN Legal business name | NORTHWEST COUNSELING AND GUIDANCE CLINIC |
| Authorized official | JUSTIN COVEAU - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/01/2025 |
| Last updated | 05/01/2025 - More than a year ago |
| Identifiers | n/a |
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