Provider Demographics
NPI:1528468139
Name:BELCH, JOANNE M (LMSW)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:M
Last Name:BELCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HIGHWAY 95 NORTH
Mailing Address - Street 2:CAMAS PROFESSIONAL COUNSELING
Mailing Address - City:GRANGEVILLE
Mailing Address - State:ID
Mailing Address - Zip Code:83530
Mailing Address - Country:US
Mailing Address - Phone:208-983-0235
Mailing Address - Fax:208-983-0245
Practice Address - Street 1:83 HIGHWAY 95 NORTH
Practice Address - Street 2:CAMAS PROFESSIONAL COUNSELING
Practice Address - City:GRANGEVILLE
Practice Address - State:ID
Practice Address - Zip Code:83530
Practice Address - Country:US
Practice Address - Phone:208-983-0235
Practice Address - Fax:208-983-0245
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health