Individual provider · Type 1 NPI

Wendy Blickenstaff, LPC

Mental Health Counselor · Boise, ID

NPI number 1104722370 Active

Practice location

4222 W Emerald St
Boise, ID 83706-2037

Mailing address

1431 E Pineridge Dr
Boise, ID 83716-5775

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1581038 (ID)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1104722370

Wendy Blickenstaff, LPC's National Provider Identifier is 1104722370, issued on Oct 15, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Oct 15, 2026.