Individual provider · Type 1 NPI
Charles Benton McConnell, MA
Counselor · Boise, ID
NPI number
1104932383
Active
Practice location
413 N Allumbaugh, Suite 103
Boise, ID 83704
Fax (208) 323-1894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPCP 127 (ID) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104932383
Charles Benton McConnell, MA's National Provider Identifier is 1104932383, issued on Aug 21, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.