Individual
ANASTASIA BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13900 W WAINWRIGHT DR, BOISE, ID 83713-5028
(208) 901-8722
Mailing address
PO BOX 104, HOMEDALE, ID 83628-0104
(208) 901-8722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1471665
ID
Other
Enumeration date
07/08/2025
Last updated
09/27/2025
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