Provider Demographics
NPI:1699257568
Name:ORR, CALEB JESSE (LPC)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:JESSE
Last Name:ORR
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 SIXTH AVE
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-5396
Mailing Address - Country:US
Mailing Address - Phone:208-263-7101
Mailing Address - Fax:208-255-5635
Practice Address - Street 1:1033 BALDY MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-9202
Practice Address - Country:US
Practice Address - Phone:208-920-5151
Practice Address - Fax:208-255-5635
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-6923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health