Aspen Grove Counseling

NPI #1346868171 in Boise, Idaho

Provider Information

NPI Number: 1346868171
Entity Type: Organization
Organization Name: Aspen Grove Counseling
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 8, 2020
Last Updated: Jul 8, 2020

Practice Location

Address: 6142 W CORPORAL LN
City: Boise
State: Idaho
ZIP Code: 83704-9316
Phone: (208) 880-4842

Authorized Official

Name: KATY SIMMONS
Title: CREDENTIALING
Phone: (208) 452-6580

Specialties & Taxonomy Codes

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

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