Individual
COURTNEY ANNE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 922-6714
Mailing address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 922-6714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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