Individual
PATRA SIMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
403 W CHERRY LN, MERIDIAN, ID 83642-1610
(208) 887-1911
Mailing address
914 N 8TH ST APT 104, BOISE, ID 83702-4215
(208) 830-6309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4678
ID
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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