Spackman, Virginia
Spackman, Virginia is an individual health care provider with primary practice located at 3904 E Flamingo Ave Ste 200 , Nampa ID 83687-3144. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spackman, Virginia can be contacted via phone (208) 639-1514.Contact Information
Primary practice address
3904 E Flamingo Ave Ste 200
Nampa ID 83687-3144
Phone: (208) 639-1514
Fax: (208) 639-2301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-7553 | Idaho |
Profile Details
| NPI number | 1932590221 |
|---|---|
| LBN Legal business name | Spackman, Virginia |
| Credentials | M.ED, LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2015 |
| Last updated | Jun 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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