Individual
MR. MARK L. KIRCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
3350 AMERICANA TER STE 300, BOISE, ID 83706-2548
(208) 343-1113
(208) 343-0040
Mailing address
3350 AMERICANA TER STE 300, BOISE, ID 83706-2548
(208) 343-1113
(208) 343-0040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC #9
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW
LICENSED SOCIAL WORKER
ID
Enumeration date
09/11/2006
Last updated
07/08/2007
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