Individual
RYAN LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LPC
Contact information
Practice address
1880 JUDITH LN, BOISE, ID 83705-3119
(208) 367-6910
(208) 367-6170
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5171
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4642
ID
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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