Individual
GEMIA LORRAINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 W FAIRVIEW AVE STE 209, BOISE, ID 83702-5190
(208) 352-0343
Mailing address
2063 N CHARITAN DR, BOISE, ID 83713-5129
(208) 340-3694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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