Individual
GINA RENEE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
411 ALLUMBAUGH ST, BOISE, ID 83704-9210
(208) 338-4699
Mailing address
411 N. ALLUMBAUGH ST., BOISE, ID 83704
(208) 338-4699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3115
ID
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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