NPI age
10 years
Enumerated 2016-03-22
Across 1313 active counselor providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | LCPC6979 | STATE OF IDAHO LICENSING BUREAU |
| 01 (ID) | LPC 3525 | LICENSED PROFESSIONAL COUNSELOR |
Solo or small practice. No other active providers share this practice address in NPPES.
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