Gemia Lorraine Carroll
Counselor, Mental Health in Boise, ID. Individual provider (NPI-1).
NPI number1831945005
StatusActive
Last updated in NPPESApr 27, 2024
Details
- NPI
- 1831945005
- Entity type
- Individual (NPI-1)
- Name
- Gemia Lorraine Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2024
- Certification date
- Apr 27, 2024
- Last updated
- Apr 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1655 W Fairview Ave Ste 209Boise, ID 83702-5190
Phone 208-352-0343
Mailing address
2063 N Charitan DrBoise, ID 83713-5129
Phone 208-340-3694
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