Individual
SIERRA ROSE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
13297 W BLUEBELL DR, BOISE, ID 83713-1343
(208) 488-2381
Mailing address
13297 W BLUEBELL DR, BOISE, ID 83713-1343
(208) 488-2381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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