Individual
AMANDA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5791
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8671289
ID
Other
Enumeration date
11/18/2025
Last updated
11/20/2025
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