Whalio Doctors

NPI 1003497975

Northern Star Healing, PLLC

Organisation Clinical Social Worker Mountain Home, ID

Practice location

Address
1530 Fairway Street, Mountain Home, ID 83647
Phone
(208) 794-0048
Fax
(855) 471-0759

Authorised official

Name
Daniel Eli Novak
Title
Owner
Phone
(208) 794-0048

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI
1003497975
Entity type
Organization
NPI issued
21 Apr 2021
Record last updated
21 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.