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CLEARWATER COUNSELING

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Company Details

Name: CLEARWATER COUNSELING
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 18 Aug 2000 (25 years ago)
Entity Number: 127342
Place of Formation: IDAHO
File Number: 0000127342
ZIP code: 83501
County: Nez Perce County
Mailing Address: PO BOX 1123 LEWISTON, ID 83501

National Provider Identifier

NPI Number:
1134361207

Authorized Person:

Name:
MR. MARK ROBERT JONES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087467402
Fax:
2089837787

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000729703 2015-12-02
Initial Filing 0000127342 2000-08-18

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State