Individual
CHARLES DIEMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2577 S FIVE MILE RD, BOISE, ID 83709-2325
(208) 918-1635
(208) 917-8600
Mailing address
508 W GARFIELD ST, BOISE, ID 83706-4348
(208) 918-1635
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC - 5908
ID
Other
Enumeration date
07/24/2015
Last updated
02/05/2016
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