Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Victors Gathering Counseling Service

Organization Clinical Social Worker · NPI 1417597683

A Victors Gathering Counseling Service is a Clinical Social Worker in Moscow, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

417 E Veatch St
Moscow, ID 83843-3570
Phone: (208) 874-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1417597683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Lopez — Therapist/Owner · (208) 596-4129
NPI enumeratedJanuary 15, 2020
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address417 E Veatch St, Moscow, ID 83843-3570

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