JOSE VICTOR ABALOS LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1043176498- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 2500 W KOOTENAI ST, BOISE, ID, 837052408
- Phone
- (208) 908-0500
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-8171697