Individual
MRS. DOREE ERIKA KOVIS-TONKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1627 SOUTH ORCHARD, SUITE 140, BOISE, ID 83705
(208) 610-2061
Mailing address
5146 NORTH TURRET WAY, BOISE, ID 83703
(208) 610-2061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-31016
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27BW8
MEDI-CAL PRV NBR
CA
01
—
44CF
MEDI-CAL PRV NBR
CA
01
—
D8360099
DRIVER'S LICENSE
CA
Enumeration date
04/26/2007
Last updated
10/28/2016
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