Organization
ROOM TO BREATHE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CLEARY LPC (OWNER)
(208) 890-3593
Entity
Organization
Contact information
Practice address
1020 W FRANKLIN ST, BOISE, ID 83702-5400
(208) 890-3593
Mailing address
11083 W SPRINGGOLD DR, BOISE, ID 83709-6393
(208) 890-3593
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-3200
ID
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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