Organization · Type 2 NPI
Intentional Support, LLC
Mental Health Counselor · Boise, ID
NPI number
1982428306
Active
Practice location
5840 S Mandolin Pl
Boise, ID 83709-6377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1982428306
Intentional Support, LLC's National Provider Identifier is 1982428306, issued on Nov 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Nov 12, 2024.