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1336833060
CRYSTAL IPSEN
BOISE, ID
NPI
1336833060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-9578)
Enumeration Date
2023-06-06
Last Update Date
2023-12-14
Business Address
CRYSTAL IPSEN LPC
6428 W INTERCHANGE LN
BOISE, ID 83709
Phone number: 208-639-2850
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Mailing Address
CRYSTAL IPSEN LPC
105 E TWIN WILLOW DR
BOISE, ID 83706-4926
Phone number: 208-639-2850
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