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Core Counseling Center PLLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Nampa, ID

NPI 1851661052 · NPPES record last updated Mar 5, 2013

Key facts

NPI
1851661052
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
CORE COUNSELING CENTER PLLC
Practice address
847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792
Phone
(208) 467-2673
Fax
(208) 467-4150
NPI assigned
Jan 4, 2012
Organization subpart
No

Authorized official

Name
Mr. Jeffrey Ryan Moreno, L.C.S.W.
Title
Owner/Program Manager
Phone
(208) 570-8894

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 7

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

National Provider Directory

Tax ID family
Core Counseling Center (2 organizations share this tax ID)

Locations

847 Parkcentre Way
Ste 4
Nampa, ID 83651
Phone (208) 467-2673

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792

Mailing address

847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792
Phone (208) 467-2673

Other providers in Nampa, ID

All providers in Nampa, ID · Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

Sources for this page

Verify at the official NPI Registry.