Individual
DALANA SUE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E RIVERPARK LN STE 125, BOISE, ID 83706-6661
(208) 254-5450
Mailing address
600 E RIVERPARK LN STE 125, BOISE, ID 83706-6661
(208) 794-8758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC6953
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPI-1922533520
—
ID
Enumeration date
04/27/2017
Last updated
03/20/2024
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