Individual
LAURA BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4696 W OVERLAND RD STE 168, BOISE, ID 83705-2878
(208) 918-3627
Mailing address
4696 W OVERLAND RD STE 168, BOISE, ID 83705-2878
(208) 918-3627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6941
ID
101YP2500X
Professional Counselor
Primary
LPC-6941
ID
Other
Enumeration date
08/09/2018
Last updated
08/31/2020
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