Caleb Idlett

NPI 1245845593 · on the registry since 2020

Practice

Address: 748 14th Ave
Longview, WA 98632
Phone: (360) 200-5419
Fax: (360) 200-6736
Organisation at this address: Core Health
Peacehealth
Community House On Broadway
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 137

Registry record

Primary taxonomy: Counselor
101Y00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington