Organization
LIFESPAN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TORI BEAUCLAIRE LCSW (CO-PARTNER)
(208) 344-0844
Entity
Organization
Contact information
Practice address
1510 ROBERT ST, STE 101, BOISE, ID 83705-2528
(208) 344-0844
(208) 344-0592
Mailing address
1510 ROBERT ST, STE 101, BOISE, ID 83705-2528
(208) 344-0844
(208) 344-0592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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