Individual
MRS. SUSAN PATRICIA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5999 W STATE ST STE B, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Mailing address
5999 W STATE ST STE B, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-4223
ID
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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