Individual
MS. SALLY B MORRISROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
612 SCOTT ST, BOISE, ID 83705-1819
(208) 284-0365
(208) 344-6461
Mailing address
612 SCOTT ST, BOISE, ID 83705-1819
(208) 284-0365
(208) 344-6461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-306
ID
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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