Individual
MARY ROSE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 160, BOISE, ID 83705-1295
(208) 617-4228
Mailing address
410 S ORCHARD ST STE 160, BOISE, ID 83705-1295
(208) 617-4228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8273
ID
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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