Mark R Jones Dba Clearwater Counseling
LBN: Mark R Jones Dba Clearwater Counseling
Mark R Jones Dba Clearwater Counseling is an health care organization with primary practice located at 1020 Main St , Lewiston ID 83501-1842. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Mark R Jones Dba Clearwater Counseling can be contacted via phone (208) 743-8101, or through Jones, Mark R via phone (208) 943-8101.
Contact Information
Primary practice address
1020 Main St
Lewiston ID 83501-1842
Phone: (208) 743-8101
Fax: (208) 746-7402
Website:
Authorized official contact:
Name: Jones, Mark R Licensed Clinical Social Worker (LCSW)
Phone: (208) 943-8101
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Idaho |
Profile Details
| NPI number | 1972685915 |
|---|---|
| LBN Legal business name | Mark R Jones Dba Clearwater Counseling |
| DBA Doing business as | |
| Authorized official | Jones, Mark R Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972685915 | NPPES |
| Idaho | MEDICAID | 807373700 | |
| Idaho | Other | 010100018983 | |
| Idaho | Other | 8H492 | |
| Idaho | MEDICAID | 807347200 | |
| Idaho | MEDICAID | 807346600 | |
| Idaho | Other | 000010143998 | |
| Idaho | MEDICAID | 805879700 |
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