Laura Burdette, LPC
Counselor, Professional in Boise, ID. Individual provider (NPI-1).
NPI number1417436601
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1417436601
- Entity type
- Individual (NPI-1)
- Name
- Laura Burdette
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2018
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-6941 | ID | Yes |
| 101YP2500X | Counselor, Professional | 6941 | ID |
Practice location
4696 W Overland Rd Ste 168Boise, ID 83705-2878
Phone 208-918-3627
Mailing address
4696 W Overland Rd Ste 168Boise, ID 83705-2878
Phone 208-918-3627
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