Individual
MRS. MARSHA JT OSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CDC II, BHC II
Contact information
Practice address
2995 N COLE RD, SUITE 255, BOISE, ID 83704-5964
(208) 287-3285
(208) 995-2896
Mailing address
2995 N COLE RD, SUITE 255, BOISE, ID 83704-5964
(208) 287-3285
(208) 995-2896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1122006
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518357649
—
ID
Enumeration date
05/29/2015
Last updated
05/29/2015
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