Living Water Youth Ranch
Living Water Youth Ranch is an Addiction (Substance Use Disorder) Counselor in Hayden, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
8382 N Wayne Dr Ste 201Hayden, ID 83835-6028
Phone: (208) 762-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1528795093 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marissa McCreary — Office Manager · (208) 981-1992 |
| NPI enumerated | August 4, 2022 |
| Last updated in NPPES | August 4, 2022 |
| Certification date | August 4, 2022 |
| Mailing address | 8382 N Wayne Dr Ste 201, Hayden, ID 83835-6028 |
Other providers in Hayden
-
Mr. Clark William Guest, LAADCLNR2090411
9494 N Government Way # 202, Hayden, ID 83835-9848 · (208) 449-2509
-
Carol Lowry, ACADC
8382 N Wayne Dr Ste 201, Hayden, ID 83835-6028 · (208) 762-8777
-
Lauren Kristina McCrea, MS
13404 N Government Way Ste 202, Hayden, ID 83835 · (208) 518-2712
-
MS. Victoria Ann Purviance, LCPC
2151 W Hayden Ave, Hayden, ID 83835-7414 · (208) 661-1776