Individual
LEAH MARIE SUDDARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2589 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 908-6320
(208) 908-6404
Mailing address
2589 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 908-6320
(208) 908-6404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7441
ID
Other
Enumeration date
06/14/2007
Last updated
07/14/2023
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