Individual
MRS. LAURA REBECCA PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M COUNS. LPC
Contact information
Practice address
3415 N TAMARACK DR, BOISE, ID 83703-4547
(208) 859-2982
Mailing address
3415 N TAMARACK DR, BOISE, ID 83703-4547
(208) 859-2982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10400
ID
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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