Individual
CHRISTINA MARIE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
10096 W FAIRVIEW AVE STE 160, BOISE, ID 83704-5004
(208) 908-7882
(208) 908-7883
Mailing address
4408 W HOOVER ST, BOISE, ID 83705-1315
(208) 906-7882
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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