Pines Counseling and Play Center

NPI #1134966039 in Boise, Idaho

Provider Information

NPI Number: 1134966039
Entity Type: Organization
Organization Name: Pines Counseling and Play Center
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 9, 2024
Last Updated: Jul 9, 2024

Practice Location

Address: 12514 W MACUMBO ST
City: Boise
State: Idaho
ZIP Code: 83709-5169
Phone: (208) 850-3542

Authorized Official

Name: KERRY ELDER, LCPC
Title: COUNSELOR
Phone: (208) 850-3542

Specialties & Taxonomy Codes

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

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