Individual
TAMMY LYNNE MOREHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
413 N ALLUMBAUGH ST STE 102, BOISE, ID 83704-9219
(208) 631-7387
(208) 343-4458
Mailing address
6003 W OVERLAND RD STE 101, BOISE, ID 83709-3075
(208) 322-2412
(208) 345-2077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29353
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010156807
REGENCE BLUE SHIELD OF ID
ID
01
—
X6897
BLUE CROSS OF IDAHO
ID
Enumeration date
08/20/2006
Last updated
09/16/2019
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