Individual
ZACHARY HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 W ELDER ST STE 300, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
3501 W ELDER ST STE 300, BOISE, ID 83705-4986
(208) 286-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-9331
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
10/02/2017
Last updated
01/25/2023
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