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Organization

ANNAPURNA COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UNCIL GRACE JO LCSW (CLINICAL SOCIAL WORKER)
(208) 850-0442
Entity
Organization

Contact information

Practice address
7669 W RIVERSIDE DR STE 101, BOISE, ID 83714-6183
(208) 850-0442
(208) 549-5833
Mailing address
11491 W WAGON PASS CT, BOISE, ID 83709-8565
(208) 850-0442
(208) 549-5833

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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