Individual
LAURA ANN CROMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMFT
Contact information
Practice address
815 W WASHINGTON ST, BOISE, ID 83702-5538
(208) 376-5683
Mailing address
3556 N LENA AVE, BOISE, ID 83713-4727
(208) 376-5683
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC - 3007
ID
106H00000X
Marriage & Family Therapist
LMFT - 3072
ID
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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