NPI 1720731201
Nicholas Pack
Practice location
- Address
- 1101 E Polston Ave STE a, Post Falls, ID 83854-6045
- Phone
- (208) 981-0431
- Mailing address
- 1121 E Boyd Ave APT a, Coeur D Alene, ID 83814-4384
Registered specialties (2)
Marriage & Family Therapist
Primary
Mental Health Counselor
Registry record
- NPI
- 1720731201
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Feb 2022
- Record last updated
- 17 Jun 2024
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.