Doctor Name: | TWYLA CAIRNS |
NPI Number: | 1659702694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCP |
License Number: | LPC-5437 |
Business Practice Address: | 205 N Berkley Ave Council, ID - 836120428 |
Business Phone Number: | 2082534242 |
Business Fax Number: | 2082536849 |
Mailing Address: | Po Box 428, 205 N Berkley Ave COUNCIL |
State: | ID |
Postal Code: | 836120428 |
Phone Number: | 2082534242 |
Fax Number: | 2082536849 |
NPI Enumeration Date: | 12/02/2013 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-5437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |