Individual
RACHEL BORDEWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
132 5TH AVE W, JEROME, ID 83338-1871
(208) 814-9800
(208) 933-9648
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-9761
ID
Other
Enumeration date
09/04/2024
Last updated
11/13/2024
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