Organization
MICHAEL CHIPPOLLA LCSW ACADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHIPPOLLA LCSW 35126 (OWNER- CLINICAL DIRECTOR)
(208) 713-5250
Entity
Organization
Contact information
Practice address
4836 W TARGEE ST, BOISE, ID 83705-3655
(208) 713-5250
Mailing address
4836 W TARGEE ST, BOISE, ID 83705-3655
(208) 713-5250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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