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SAFE HARBOR COUNSELING

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Company Details

Name: SAFE HARBOR COUNSELING
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 10 Apr 2000 (25 years ago)
Entity Number: 117368
Place of Formation: IDAHO
File Number: 0000117368
ZIP code: 83442
County: Jefferson County
Mailing Address: 4537 E 300 N RIGBY, ID 83442

National Provider Identifier

NPI Number:
1679201982
Certification Date:
2025-02-12

Authorized Person:

Name:
JULIE CARLSON
Role:
THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000117368 2000-04-10

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State