Individual
VIRGINIA GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
9750 KLONDIKE CT, BOISE, ID 83709-1527
(208) 830-6038
(208) 378-8852
Mailing address
9750 KLONDIKE CT, BOISE, ID 83709-1527
(208) 830-6038
(208) 378-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-95
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015793
BLUE SHIELD
ID
01
—
LCPC-95
IDAHO STATE LIC NUMBER
ID
01
—
Q2735
BLUE CROSS
ID
Enumeration date
05/25/2007
Last updated
07/08/2007
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