Individual
ADRIENNE RAE PATRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1408 W HAYS ST, BOISE, ID 83702-5028
(208) 919-9555
(208) 336-7125
Mailing address
1312 N 26TH ST, BOISE, ID 83702-2323
(208) 919-9555
(208) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
08/12/2020
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