Individual
DR. GREGORY W. MONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
220 W STATE ST, BOISE, ID 83702-6052
(208) 331-2822
(208) 345-1947
Mailing address
220 W STATE ST, BOISE, ID 83702-6052
(208) 331-2822
(208) 345-1947
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY392
ID
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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