OrganizationActive
A Victors Gathering Counseling Service
NPI 1417597683 · Clinical Social Worker · Moscow, ID
Provider details
- NPI number
- 1417597683
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kristine Lopez, Therapist/Owner(208) 596-4129
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
417 E Veatch St
Moscow, ID 83843-3570
Phone: (208) 874-7989
Approximate (ZIP-level) locationGet directions
Mailing address
417 E Veatch St
Moscow, ID 83843-3570
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.