Individual
JOAN KATHLEEN SCHRAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
3098 N FIVE MILE RD STE A, BOISE, ID 83713-5215
(208) 376-4999
(208) 323-9349
Mailing address
4622 COLLISTER DR, BOISE, ID 83703-3719
(208) 343-0539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCP 671
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000159385
BLUE SHIELD
ID
01
—
X6931
BLUE CROSS
ID
Enumeration date
01/28/2008
Last updated
01/28/2008
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