Organization Name: | COUNSELING ASSOCIATES PLLC |
NPI Number: | 1144362021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA YANCEY (OWNER) |
Mailing Address: | 742 E State Street Suite 160 Eagle |
State: | ID US |
Postal Code: | 83616 |
Phone Number: | 2089384764 |
Fax Number: | 2083239070 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |