Organization
FREEDOM COUNSELING SERVICES OF BOISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DESANTIS (OWNER/THERAPIST)
(208) 807-0122
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER, SUITE 210B, BOISE, ID 83706-2521
(208) 807-0122
Mailing address
PO BOX 170111, BOISE, ID 83717-0111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC-4671
ID
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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