Individual
HEATHER ALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 38397
Contact information
Practice address
1609 S KIMBALL AVE STE 201, CALDWELL, ID 83605-5196
(208) 585-4333
Mailing address
10566 W IRVING CT, BOISE, ID 83704-8053
(208) 585-4333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW38397
ID
101YM0800X
Mental Health Counselor
LCSW38397
ID
103K00000X
Behavior Analyst
LCSW38397
ID
1041C0700X
Clinical Social Worker
Primary
LCSW38397
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14500036
CAQH
ID
Enumeration date
10/31/2016
Last updated
07/28/2019
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