Mr. EVAN TULLIS ANDERSON LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1780105767- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 300 S 23RD ST, BOISE, ID, 837029100
- Phone
- (208) 344-3512
- Fax
- (208) 466-5359
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #LCSW-42535
Social Worker, Clinical
License: ID #34856