Individual provider · Type 1 NPI
Raelynn Fritz Grant, LPC
Counselor · Boise, ID
NPI number
1376804179
Active
Practice location
410 S Orchard St Ste 132
Boise, ID 83705-1288
Mailing address
1415 S Colorado Ave
Boise, ID 83706-3741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC 4853 (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 1376804179
Raelynn Fritz Grant, LPC's National Provider Identifier is 1376804179, issued on Jun 7, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boise, ID. The record was last updated on Jun 11, 2012.