Counseling Solutions Center LLC

Organization Active NPI Marriage & Family Therapist · Eagle, ID

NPI 1629613823 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1629613823
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
COUNSELING SOLUTIONS CENTER LLC
Practice address
2618 East Snocreek
Eagle, ID 83616
Phone
(208) 231-7308
NPI assigned
Nov 12, 2019
Organization subpart
No

Authorized official

Name
Jessica Angelic Bullwinkle, MA NPI 1851583405
Title
Owner
Phone
(208) 231-7308

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

2618 East Snocreek
Eagle, ID 83616

Mailing address

2618 E Snocreek Dr
Eagle, ID 83616-5816
Phone (208) 231-7308

Other practice location 1

17705 Hale Ave Ste F4
Morgan Hill, CA 95037-4349
Phone (408) 599-9562

Other names

  • Jessica Bullwinkle, MA, LMFT Doing business as

Other providers in Eagle, ID

All providers in Eagle, ID · Marriage & Family Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.