Individual
CRAIG LODIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2237 S COLORADO AVE, BOISE, ID 83706-4625
(207) 907-9989
Mailing address
2237 S COLORADO AVE, BOISE, ID 83706-4625
(207) 907-9989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PSY202797
ID
Other
Enumeration date
08/24/2006
Last updated
03/12/2026
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