Individual
MS. DARYL A. BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1408 W HAYS ST, BOISE, ID 83702-5028
(208) 345-2207
(208) 336-7125
Mailing address
1408 W.HAYS, BOISE, ID 83702-5028
(208) 345-2207
(208) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-74
ID
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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