Individual
JULIA EDEN HUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5999 W STATE ST, GARDEN CITY, ID 83703-5059
(208) 398-0043
Mailing address
1417 N 19TH ST, BOISE, ID 83702-2534
(385) 368-8243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2271342
ID
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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