Active Pursuit Therapy LLC

NPI #1154072023 in Boise, Idaho

Provider Information

NPI Number: 1154072023
Entity Type: Organization
Organization Name: Active Pursuit Therapy LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 12, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 3350 W AMERICANA TER STE 210B
City: Boise
State: Idaho
ZIP Code: 83706-2521
Phone: (208) 316-9381

Authorized Official

Name: CANDACE RENEE COOPER, LCPC, NCC
Title: PROFESSIONAL COUNSELOR
Phone: (208) 316-9381

Specialties & Taxonomy Codes

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

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