Individual
CATHLEEN MARIELLE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7255 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 350-7498
Mailing address
13433 W BLUEBONNET DR, BOISE, ID 83713-1341
(208) 921-9548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6144
ID
Other
Enumeration date
08/23/2019
Last updated
06/06/2023
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