Individual
JENNIFER M. CROUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
750 WARM SPRINGS AVE, SUITE C, BOISE, ID 83712-6475
(208) 344-2850
Mailing address
1719 ROBERT ST, BOISE, ID 83705-3161
(208) 440-8882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3098
ID
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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