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BOBBY BEQUETTE

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1982145645

Individual Registrant:
 BOBBY  BEQUETTE 
Gender: M
Sole Proprietor

Location and contact information for practice:
125 COMMERCE ST STE B  MCCALL, ID 83638-5192 US
Tel: 208-861-9157  Fax: --

Contact information for business:
PO BOX 391  CASCADE, ID 83611-0391 US
Tel: 208-861-9157  Fax: --

Registration Information:
NPI: 1982145645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ID6386

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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