Provider Demographics
NPI:1508565490
Name:MORGEN, AARON CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:CHRISTOPHER
Last Name:MORGEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1264
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-1264
Mailing Address - Country:US
Mailing Address - Phone:208-745-2700
Mailing Address - Fax:208-598-7990
Practice Address - Street 1:6426 KOOTENAI ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8620
Practice Address - Country:US
Practice Address - Phone:208-745-2700
Practice Address - Fax:208-598-7990
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-9372101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health