Individual
ANJALI SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4477 W EMERALD ST STE C225, BOISE, ID 83706-2076
(208) 465-4985
Mailing address
1565 E LEIGHFIELD DR STE 100, MERIDIAN, ID 83646-6950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
02/11/2022
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