Individual
KHAI TUAN TRINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2577 S FIVE MILE RD STE 102, BOISE, ID 83709-2325
(986) 999-2017
Mailing address
11192 W BODLEY DR, BOISE, ID 83709-0190
(208) 371-1786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8561172
ID
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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