Individual
ROBERT E. DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
400 N BENJAMIN LN, BOISE, ID 83704-5094
(208) 287-7660
Mailing address
1774 S BARLOW LN, BOISE, ID 83709-3001
(904) 536-5469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6644
ID
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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