Individual
GILLIAN WHEADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 CLEVELAND BLVD STE 205, CALDWELL, ID 83605-4080
(208) 615-9600
Mailing address
6556 E SIGNAL ROCK DR, BOISE, ID 83716-7082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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