Individual
MRS. RYLEE MAE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 W IDAHO ST STE 201, BOISE, ID 83702-5755
(208) 380-1716
Mailing address
500 W IDAHO ST STE 201, BOISE, ID 83702-5755
(208) 380-1716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8895
ID
Other
Enumeration date
06/07/2022
Last updated
11/17/2023
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