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Organization
GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC
Active
Organization
GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL A BOLIOU PSY.D. (OWNER)
(208) 375-7777
Entity
Organization
Contact information
Practice address
1323 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 375-7777
(208) 375-7598
Mailing address
1327 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 375-7777
(208) 375-7598
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
09/13/2017
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