Organization
RAELYNN GRANT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAELYNN GRANT LCPC (OWNER/ CLINICAL COUNSELOR)
(208) 761-0980
Entity
Organization
Contact information
Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 761-0980
Mailing address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 761-0980
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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