Jonathan Roy Minkoff in Caldwell - Counselor

Jonathan Roy Minkoff - NPI 1790853927

Jonathan Roy Minkoff is a Counselor in Caldwell, Idaho. Jonathan Roy Minkoff practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jonathan Roy Minkoff is 1790853927. The last update date is 2007-07-08.

Jonathan Roy Minkoff's current location address is 11648 Eva Lane, Caldwell, Idaho. You can contact this provider via phone number 2084532840 and fax number 2084532840. The mailing address for Jonathan Roy Minkoff is 11648 Eva Lane, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Roy Minkoff
Address 11648 Eva Lane, Caldwell, Idaho
Phone Number 2084532840
Fax Number 2084532840
Sole Proprietor Y
Credentials LCPC

NPI Number Detail

NPI Number 1790853927
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11648 Eva Lane
City Caldwell
State Idaho (ID)
Post Code 836079716
Phone Number 2084532840
Fax Number 2084532840

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No LCPC-126
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10017377 ID REGENCE BLUESHIELD OF ID
Q4608 ID BLUE CROSS OF IDAHO

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FAQs about Jonathan Roy Minkoff

What is the unique 10-digit identifier code issued to Jonathan Roy Minkoff by the Centers for Medicare & Medicaid Services?

The Jonathan Roy Minkoff has been assigned the NPI (National Provider Identifier) 1790853927 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jonathan Roy Minkoff is physically located?

The Jonathan Roy Minkoff is situated at the following address: 11648 Eva Lane, Caldwell, ID 836079716.

Could you please share the complete physical location address where Jonathan Roy Minkoff's facilities are situated?

The facilities of Jonathan Roy Minkoff are physically located at the following address: 11648 Eva Lane, Caldwell, ID, 836079716.

What is Jonathan Roy Minkoff's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jonathan Roy Minkoff's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.

On what date did the Jonathan Roy Minkoff receive the assignment of its 1790853927 from the Centers for Medicare & Medicaid Services?

The Jonathan Roy Minkoff was issued its 1790853927 by the Centers for Medicare & Medicaid Services on 2006-12-04.

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