PRO ACTIVE ADVANTAGE, LLC

Counselor

Active Organization
NPI: 1366562316

Practice Address

215 UNIVERSITY DR
Gooding, ID 83330

Phone: (208) 934-5880

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1366562316 is the National Provider Identifier for PRO ACTIVE ADVANTAGE, LLC, a Counselor provider located in Gooding, ID. This NPI was enumerated on March 30, 2007.

Quick Facts

NPI
1366562316
Type
Organization
Enumerated
Mar 30, 2007
Last Updated
Sep 15, 2021

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