Individual
MRS. ALISHA KEADY HURLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
9482 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 996-3871
Mailing address
1279 E BASENJI ST, MERIDIAN, ID 83642-4615
(208) 996-3871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
60381319
WA
101YM0800X
Mental Health Counselor
Primary
LCPC-8405
ID
Other
Enumeration date
09/23/2013
Last updated
04/24/2024
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