| Boise Counseling Center, Llc | |
|
2500 W Kootenai St Boise ID 83705-2408 | |
| (208) 908-0500 | |
| (208) 908-0580 |
| Full Name | Boise Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2500 W Kootenai St, Boise, Idaho |
| Authorized Official Name and Position | Julia Rose Myers (OWNER) |
| Authorized Official Contact | 2089080582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Counseling Center, Llc 2500 W Kootenai St Boise ID 83705-2408 Ph: (208) 908-0500 | Boise Counseling Center, Llc 2500 W Kootenai St Boise ID 83705-2408 Ph: (208) 908-0500 |
| NPI Number | 1760081459 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760081459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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