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Organization
BOISE HOLISTIC THERAPY
Active
Organization
BOISE HOLISTIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE LOUDERBOUGH LPC (OWNER)
(208) 891-0316
Entity
Organization
Contact information
Practice address
2411 W STATE ST, BOISE, ID 83702-3164
(208) 891-0316
Mailing address
112 PROSPECTOR LN, IDAHO CITY, ID 83631-7701
(208) 891-0316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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