Individual
BETH BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
(208) 381-8749
Mailing address
608 W HAYS, SUITE 200, BOISE, ID 83702-2612
(208) 381-7312
(208) 381-7313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/26/2013
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