Individual
LISA SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 220, BOISE, ID 83705-1275
(208) 991-8916
(207) 870-3465
Mailing address
410 S ORCHARD ST STE 220, BOISE, ID 83705-1275
(208) 991-8916
(207) 870-3465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7910
ID
Other
Enumeration date
06/24/2015
Last updated
10/22/2025
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