Organization
WILD HEART LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA DIANE CHAPDELAINE LCSW (CLINICAL PSYCHOTHERAPIST)
(208) 515-7588
Entity
Organization
Contact information
Practice address
1005 E PARK BLVD, BOISE, ID 83712-7722
(208) 505-7300
Mailing address
1005 E PARK BLVD, BOISE, ID 83712-7722
(208) 505-7300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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