NPI age
16 years
Enumerated 2009-08-18
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | LCPC-5077 | IBOL |
| 01 (ID) | LPC-4253 | LICENSED PROFESSIONAL COUNSELOR |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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