Organization
SOMETHING DIFFERENT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BAZZLE (LPC / OWNER)
(208) 571-1388
Entity
Organization
Contact information
Practice address
6126 W STATE ST # 409, BOISE, ID 83703-2741
(208) 571-1388
Mailing address
6126 W STATE ST # 409, BOISE, ID 83703-2741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
12/16/2020
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