Individual provider · Type 1 NPI

Tracy Lynn Roe, M.A., L.C.P.C., NCC

Professional Counselor · Boise, ID

NPI number 1104059054 Active

Practice location

3350 W Americana Ter Ste 330C
Boise, ID 83706-2547

Call (208) 866-3971 Map

Mailing address

2800 N Bogus Basin Rd Apt D103
Boise, ID 83702-0976

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X18781 (TX)
Mental Health Counselor 101YM0800XLCPC-4651 (ID)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1104059054

Tracy Lynn Roe, M.A., L.C.P.C., NCC's National Provider Identifier is 1104059054, issued on Aug 26, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 5, 2024.