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Individual

CRYSTAL IPSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6428 W INTERCHANGE LN, BOISE, ID 83709
(208) 639-2850
(208) 593-3246
Mailing address
105 E TWIN WILLOW DR, BOISE, ID 83706-4926
(208) 639-2850
(208) 593-3246

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-9578
ID

Other

Enumeration date
06/06/2023
Last updated
12/14/2023
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