JAMES BOSTOCK
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1962376327- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 219 GOODING ST N, TWIN FALLS, ID, 833016178
- Phone
- (208) 293-8846
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #3471866