Individual
MS. CHELSEA LYNN LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1032 S BRIDGEWAY PL # 110, EAGLE, ID 83616-6099
(208) 246-0123
(208) 246-0125
Mailing address
6270 N PARK MEADOW WAY APT 102, BOISE, ID 83713-1675
(208) 350-8877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-7818
ID
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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