Individual
ANNA O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2780 S PERRAULT WAY, BOISE, ID 83716-5594
(307) 251-2014
Mailing address
2780 S PERRAULT WAY, BOISE, ID 83716-5594
(307) 251-2014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8702
ID
101YP2500X
Professional Counselor
Primary
LPC8702
ID
Other
Enumeration date
03/09/2022
Last updated
06/20/2024
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