Individual
GWENDOLYN GAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1401 S WARDLE ST, BOISE, ID 83705-2931
(208) 412-0122
(208) 537-5730
Mailing address
3527 S FEDERAL WAY STE 103-417, BOISE, ID 83705-5204
(208) 412-0122
(208) 537-5730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
03/19/2015
Last updated
02/26/2024
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