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Individual

CAITLIN HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
3350 W AMERICANA TER STE 360-E, BOISE, ID 83706-2521
(208) 503-1230
Mailing address
8950 W EMERALD ST STE 178, BOISE, ID 83704-8296

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC6472
ID

Other

Enumeration date
11/18/2014
Last updated
08/01/2024
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