Individual
TRACI LYNN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LSW
Contact information
Practice address
750 EAST WARM SPRINGS AVENUE, BOISE, ID 83712-6475
(888) 311-1883
Mailing address
PO BOX 6802, BOISE, ID 83707-0802
(888) 311-1883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4138
ID
104100000X
Social Worker
LSW-1689
ID
Other
Enumeration date
12/03/2021
Last updated
12/05/2025
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