Individual
JANET B GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10792 W OVERLAND RD, BOISE, ID 83709-1329
(208) 375-7777
(208) 323-9130
Mailing address
10792 W OVERLAND RD, BOISE, ID 83709-1329
(208) 375-7777
(208) 323-9130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC106
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016759
REGENCE BLUE SHIELD OF ID
ID
01
—
Q4152
BLUE CROSS OF IDAHO
ID
Enumeration date
01/17/2007
Last updated
07/08/2007
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