Individual
CORY MICHAEL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6550 W. EMERALD ST #112, BOISE, ID 83704
(208) 342-6300
Mailing address
6550 W. EMERALD ST #112, BOISE, ID 83704
(208) 342-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-31464
ID
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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