Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101Y00000X | Counselor | | LCPC 137 | IDAHO | No |
| 2 | 101Y00000X | Counselor | | LH00003616 | WASHINGTON | No |
| 3 | 1041C0700X | Social Worker | Clinical | LCSW 179 | IDAHO | No |
| 4 | 1041C0700X | Social Worker | Clinical | LW00004911 | WASHINGTON | No |
| 5 | 106H00000X | Marriage & Family Therapist | | LMFT 3069 | IDAHO | No |
| 6 | 106H00000X | Marriage & Family Therapist | | LF00000961 | WASHINGTON | No |
| 7 | 106H00000X | Marriage & Family Therapist | | LMFT 3089 | IDAHO | No |
| 8 | 106H00000X | Marriage & Family Therapist | | LF00001127 | WASHINGTON | Yes |