| Roxanne Pickerel Llc | |
|
203 W Fort St Boise ID 83702-4528 | |
| (208) 841-8109 | |
| Not Available |
| Full Name | Roxanne Pickerel Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 203 W Fort St, Boise, Idaho |
| Authorized Official Name and Position | Roxanne Pickerel (OWNER/PRACTITIONER) |
| Authorized Official Contact | 2088418109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanne Pickerel Llc 203 W Fort St Boise ID 83702-4528 Ph: (208) 841-8109 | Roxanne Pickerel Llc 203 W Fort St Boise ID 83702-4528 Ph: (208) 841-8109 |
| NPI Number | 1114786910 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114786910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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