Individual
TRAVIS THOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST STE 158, BOISE, ID 83705-1963
(208) 900-3878
Mailing address
9546 W MOSSYWOOD DR, BOISE, ID 83709-5333
(505) 385-6305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0170091
NM
101YM0800X
Mental Health Counselor
Primary
LCPC-7589
ID
Other
Enumeration date
01/29/2015
Last updated
04/22/2022
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