Something Different Counseling LLC

NPI #1124687520 in Boise, Idaho

Provider Information

NPI Number: 1124687520
Entity Type: Organization
Organization Name: Something Different Counseling LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 10, 2019
Last Updated: Dec 16, 2020

Practice Location

Address: 6126 W STATE ST # 409
City: Boise
State: Idaho
ZIP Code: 83703-2741
Phone: (208) 571-1388

Authorized Official

Name: JACQUELINE BAZZLE
Title: LPC / OWNER
Phone: (208) 571-1388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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