Individual
TODD QUINN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCPC, NCC
Contact information
Practice address
12433 W RUTHERFORD CT, BOISE, ID 83709-0014
(208) 908-3599
Mailing address
12433 W RUTHERFORD CT, BOISE, ID 83709-0014
(208) 908-3599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7218
ID
101YP2500X
Professional Counselor
Primary
LCPC-7218
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCPC-7218
IBOL LICENSE NUMBER
ID
Enumeration date
10/15/2012
Last updated
03/18/2020
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