NPI 1134361207

Clearwater Counseling

Organisation Adult Mental Health Clinic/Center Grangeville, ID

Practice location

Address: 318 1/2 E Main St, Grangeville, ID 83530-2238
Phone: (208) 983-7717
Fax: (208) 983-7787
Mailing address: 1020 Main St PO Box 1123, Lewiston, ID 83501-1842

Authorised official

Name: Mark Robert Jones
Title: Owner
Phone: (208) 743-8101

Registered specialties (2)

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence LCPC4218 (ID)

Other Clinic/Center providers in Idaho →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence LCSW1120 (ID)

Registry record

NPI: 1134361207
Entity type: Organization
NPI issued: 3 Apr 2009
Record last updated: 3 Apr 2009

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.