Individual
AMANDA LAUREN SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6650 W EMERALD ST, BOISE, ID 83704-8738
(904) 566-4762
Mailing address
412 W REESE ST, BOISE, ID 83706-6233
(904) 566-4762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC5215
ID
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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