Organization · Type 2 NPI
Gemba Boise LLC
Professional Counselor · Boise, ID
NPI number
1891530820
Active
Practice location
161 E Mallard Dr Ste 110
Boise, ID 83706-5015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Occupational Therapist | 225X00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Professional Counselor: Definition to come...
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About NPI 1891530820
Gemba Boise LLC's National Provider Identifier is 1891530820, issued on Jul 1, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jul 1, 2024.