Individual
BEVERLY J HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 225-8462
(208) 443-5571
Mailing address
2675 S MAYFLOWER WAY, BOISE, ID 83709-8545
(208) 484-0991
(208) 443-5571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5574
ID
Other
Enumeration date
08/29/2014
Last updated
07/03/2023
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