Individual
ANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
Mailing address
1075 E. PARK BLVD, BOISE, ID 83712
(208) 477-4925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8957
ID
Other
Enumeration date
08/08/2022
Last updated
09/08/2023
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