Organization
ACTIVE PURSUIT THERAPY LLC
Active
Other names
Active Pursuit Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE RENEE COOPER LCPC, NCC (PROFESSIONAL COUNSELOR)
(208) 316-9381
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 210B, BOISE, ID 83706-2521
(208) 316-9381
Mailing address
10416 W PETEARANA ST, BOISE, ID 83704-1251
(120) 831-6938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
02/23/2022
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