| Close The Gap Llc | |
|
750 E Warm Springs Ave Ste F Boise ID 83712-6457 | |
| (208) 918-0953 | |
| Not Available |
| Full Name | Close The Gap Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 750 E Warm Springs Ave Ste F, Boise, Idaho |
| Authorized Official Name and Position | Danielle Jacqueline Shedden (OWNER, MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2089180953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Close The Gap Llc 750 E Warm Springs Ave Ste F Boise ID 83712-6457 Ph: (208) 918-0953 | Close The Gap Llc 750 E Warm Springs Ave Ste F Boise ID 83712-6457 Ph: (208) 918-0953 |
| NPI Number | 1043007412 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043007412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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