Individual
TIMOTHY ANDREAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.P.C.
Contact information
Practice address
1674 W HILL RD STE 14, BOISE, ID 83702-0958
(208) 805-0105
Mailing address
403 W OFARRELL ST, BOISE, ID 83702-4428
(208) 805-0105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5941
ID
Other
Enumeration date
08/03/2015
Last updated
03/14/2024
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