Individual
MS. CINDY GORDON FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
106 N 6TH ST, SUITE 206, BOISE, ID 83702-5992
(208) 429-1495
(208) 429-1410
Mailing address
106 N 6TH ST, SUITE 206, BOISE, ID 83702-5992
(208) 429-1495
(208) 429-1410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 3713
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7416
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
03/28/2007
Last updated
04/02/2008
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