Individual
MRS. AMY ELISA HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CST
Contact information
Practice address
13945 W WAINWRIGHT DR STE 103, BOISE, ID 83713-1912
(208) 724-0426
(208) 505-5067
Mailing address
3945 N PARK CROSSING AVE, MERIDIAN, ID 83646-6312
(208) 724-0426
(208) 505-5067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4242
ID
Other
Enumeration date
03/31/2008
Last updated
02/27/2024
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