Individual provider · Type 1 NPI

Beverly J. Hines, PhD, LPC

Professional Counselor · Boise, ID

NPI number 1316347057 Active

Practice location

1414 W Franklin St
Boise, ID 83702-5023

Fax (208) 443-5571

Mailing address

2675 S Mayflower Way
Boise, ID 83709-8545

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-5574 (ID)

Professional Counselor: Definition to come...

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About NPI 1316347057

Beverly J. Hines, PhD, LPC's National Provider Identifier is 1316347057, issued on Aug 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jul 3, 2023.