Individual
GAIL L ZICKEFOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3775 N EAGLE RD, BOISE, ID 83713-5005
(208) 570-4350
Mailing address
16548 SNOWGOOSE ST, NAMPA, ID 83687-8293
(208) 570-4350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5337
ID
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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