Individual provider · Type 1 NPI
Riley Fairgrieve, LPC
Professional Counselor · Boise, ID
NPI number
1720860810
Active
Practice location
816 W Bannock St Ste 201
Boise, ID 83702-5896
Mailing address
2014 S Division Ave
Boise, ID 83706-4211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-9829 (ID) |
Professional Counselor: Definition to come...
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About NPI 1720860810
Riley Fairgrieve, LPC's National Provider Identifier is 1720860810, issued on Oct 16, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 3, 2024.