Individual
MR. RICHARD E. BLOOD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2717 W BANNOCK ST STE 101, BOISE, ID 83702-4724
(208) 314-1008
Mailing address
1755 WESTGATE DR, SUITE 260, BOISE, ID 83704-7174
(208) 373-0790
(208) 373-0816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3288
ID
Other
Enumeration date
10/09/2005
Last updated
10/12/2022
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