Individual
ALEXANDRA GRACE RUNNOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13900 W WAINWRIGHT DR STE 101, BOISE, ID 83713-5028
(208) 995-3986
Mailing address
1895 E GLOUCESTER ST, BOISE, ID 83706-5921
(208) 995-3986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7271363
ID
Other
Enumeration date
07/02/2025
Last updated
08/13/2025
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