Individual
AMY IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
221 E MALLARD DR APT 215, BOISE, ID 83706-6613
(208) 781-1969
Mailing address
221 E MALLARD DR APT 215, BOISE, ID 83706-6613
(208) 781-1969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9909
ID
Other
Enumeration date
09/09/2019
Last updated
02/27/2024
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