Caleb Idlett

Counselor · Longview, WA

Individual Active NPI

NPI number 1245845593

Practice location

748 14TH Ave
Longview, WA 98632-2315
Phone
(360) 200-5419
Fax
(360) 200-6736

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NPI record

NPI
1245845593
Entity type
Individual (Type 1)
Enumeration date
September 14, 2020
Last updated
October 29, 2020
Certified
October 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X CG1106027 WA

Mailing address

PO Box 2394
Longview, WA 98632
Phone
(360) 200-5419
Fax
(360) 200-6736

About Caleb Idlett

Caleb Idlett is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 748 14TH Ave, Longview, WA 98632-2315. The NPI number 1245845593 was assigned on September 14, 2020 and the record was last updated on October 29, 2020.

Caleb Idlett lists a license in the registry: #CG1106027 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Idlett?

The NPI number is 1245845593.

What is the phone number of Caleb Idlett?

The phone number listed for the practice location is (360) 200-5419.

Where is Caleb Idlett located?

748 14TH Ave, Longview, WA 98632-2315.

What is the taxonomy code for Caleb Idlett?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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