Individual provider · Type 1 NPI
Jonathan Weldon Glick, LPCP
Counselor · Boise, ID
NPI number
1922039262
Active
Practice location
6010 W Overland Rd
Boise, ID 83709-3013
Mailing address
2860 E Victory Rd
Meridian, ID 83642-7051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPCP3 (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 1922039262
Jonathan Weldon Glick, LPCP's National Provider Identifier is 1922039262, issued on Jul 5, 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.