Individual
MRS. DONNA MAXINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 W 35TH ST, GARDEN CITY, ID 83714-6520
(208) 570-1200
Mailing address
PO BOX 190045, BOISE, ID 83719-0045
(208) 570-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8193
ID
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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