Provider Demographics
NPI:1902783657
Name:MCGAVER, ANN MARIE (BCMHC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:MCGAVER
Suffix:
Gender:F
Credentials:BCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 W MAGISTRATE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-5019
Mailing Address - Country:US
Mailing Address - Phone:208-819-0565
Mailing Address - Fax:
Practice Address - Street 1:2005 N IRONWOOD PKWY STE 120
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2647
Practice Address - Country:US
Practice Address - Phone:208-500-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral