Individual
DR. SUSAN PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4444 W TAFT ST, BOISE, ID 83703-4148
(208) 501-2181
Mailing address
6674 S SOLAR AVE, BOISE, ID 83709-6383
(540) 392-0688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-4231
ID
106H00000X
Marriage & Family Therapist
Primary
LAMFT-4369
ID
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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