Idaho Institute of Gender and Sex Therapy
Idaho Institute of Gender and Sex Therapy provides Clinical Social Worker services in Boise, Idaho. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6003 W Overland Rd Ste 105Boise, ID 83709-3075
Phone: (208) 417-8428
Fax: (208) 216-1434
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1811451438 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Irvin — Owner · (208) 417-8428 |
| NPI enumerated | January 28, 2019 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
| Mailing address | 3278 E Renwick St, Meridian, ID 83642-6467 |
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