Organization
GEM STATE COUNSELING AND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULI A BARDSLEY LPC (OWNER)
(208) 639-8839
Entity
Organization
Contact information
Practice address
910 WEST MAIN STREET, SUITE 320, BOISE, ID 83702
(208) 639-8839
(208) 639-8836
Mailing address
910 W MAIN ST STE 320, BOISE, ID 83702-5733
(208) 693-8839
(208) 639-8836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4452
ID
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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