Siu Ling CHI
Individual provider Active NPI Professional Counselor · Ammon, ID
NPI 1043829062 · NPPES record last updated Jul 26, 2020
Key facts
- NPI
- 1043829062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-7493 (ID)
- Practice address
- 2705 E 17TH St
Ammon, ID 83406-6601 - Phone
- (208) 346-7500
- NPI assigned
- Jul 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-7493 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-7493 | ID | Yes |
Addresses
Primary practice location
2705 E 17TH St
Ammon, ID 83406-6601
Mailing address
235 Hampton LN
Idaho Falls, ID 83404-7908
Phone (208) 569-4191
Other providers in Ammon, ID
- Timothy Wade Cannon
- Carol Klett Vance MD, Inc.
- Carolee M Cutler Peck MD MPH Oprs PLLC
- Carriage House Obstetrics and Gyncecology, LLC
- Cassy Champion
- Sarah A Childers
- Derik C Christensen
- Travis Arlen Christensen
- Court T Church
- Jacee Clark
All providers in Ammon, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.