Individual
CHRISTA EMILY THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3050 N LAKEHARBOR LN STE 248, BOISE, ID 83703-6281
(208) 991-4696
Mailing address
1302 W ROSE PARK CIR, BOISE, ID 83702-4440
(208) 991-4696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8971457
ID
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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