BEAU ALAN KOLODZIECZAK

BOISE, ID
NPI1255101929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-10609)
Enumeration Date2024-01-04
Last Update Date2024-06-06
Business Address
Mr. BEAU ALAN KOLODZIECZAK
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
Mailing Address
Mr. BEAU ALAN KOLODZIECZAK
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
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