Individual
CAROL JEAN BIRDZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 156, BOISE, ID 83705-1210
(208) 244-8105
Mailing address
410 S ORCHARD ST STE 156, BOISE, ID 83705-1210
(208) 244-8105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-9987
ID
Other
Enumeration date
01/06/2015
Last updated
06/17/2025
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