Individual
WILLIAM HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
Mailing address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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