Individual
MARIBETH HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 E. RIVERNEST LANE, BOISE, ID 83706
(208) 250-8418
Mailing address
3228 E RIVERNEST LN, BOISE, ID 83706-6928
(208) 250-8418
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LPC-4920
ID
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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