Organization
ASPEN GROVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY SIMMONS (CREDENTIALING)
(208) 452-6580
Entity
Organization
Contact information
Practice address
6142 W CORPORAL LN, BOISE, ID 83704-9316
(208) 880-4842
Mailing address
6142 W CORPORAL LN, BOISE, ID 83704-9316
(208) 880-4842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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