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KEN WELLS COUNSELING

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Company Details

Name: KEN WELLS COUNSELING
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 07 Sep 2018 (7 years ago)
Entity Number: 618899
Place of Formation: IDAHO
File Number: 0000618899
ZIP code: 83716
County: Elmore County
Mailing Address: 6654 E BEND RIDGE ST BOISE, ID 83716

National Provider Identifier

NPI Number:
1245854454
Certification Date:
2020-06-03

Authorized Person:

Name:
MR. KEN WELLS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000618899 2018-09-07

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State