Individual
AMY KORB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7735 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
7735 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC - 4763
ID
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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