Individual
TAMARA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2577 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 908-6320
Mailing address
2577 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 908-6320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5892
ID
Other
Enumeration date
07/10/2015
Last updated
01/10/2016
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