Organization
CHRYSALIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME MCMANUS MA, LCPC, NCC (DIRECTOR OF BEHAVIORAL HEALTH SERVI)
(208) 850-1896
Entity
Organization
Contact information
Practice address
686 N 9TH ST, BOISE, ID 83702-5458
(208) 850-1896
Mailing address
686 N 9TH ST, BOISE, ID 83702-5458
(208) 850-1896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-5005
ID
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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