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NPI 1366099236

OrganizationActive

Avalon Counseling, LLC

NPI 1366099236 · Clinic/Center · Coeur D Alene, ID

Provider details

NPI number: 1366099236
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Lonnie Stapp, Clinical Director

Practice location

1250 W Ironwood Dr Ste 303

Coeur D Alene, ID 83814-2682

Phone: (208) 366-5053

Fax: (208) 518-1258

More ID providers

Mailing address

1250 W Ironwood Dr Ste 303

Coeur D Alene, ID 83814-2682

Registry dates

Enumerated: 2019-08-24
Last updated: 2019-08-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Avalon Counseling, LLC — NPI 1366099236, Coeur D Alene, ID | NPI Central