Individual
JULIE MARIE HAMBLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S ORCHARD ST STE 160, BOISE, ID 83705-1295
(208) 484-0312
Mailing address
9663 W MACAW ST, BOISE, ID 83704-1253
(208) 484-0312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5911
ID
Other
Enumeration date
01/11/2023
Last updated
04/06/2023
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