Individual
HEIDI CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3050 N LAKEHARBOR LN STE 120, BOISE, ID 83703-6917
(208) 830-2820
Mailing address
3023 E COPPER POINT DR, MERIDIAN, ID 83642-9290
(208) 914-8924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6363
ID
Other
Enumeration date
08/14/2012
Last updated
02/13/2024
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