BILLYLYNN LEIUILANI HAN PESTELL

BOISE, ID
NPI1497318802
Former NameBILLYLYNN HAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-43502)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MT  BBH-LCSW-LIC-33967)
Enumeration Date2019-04-22
Last Update Date2024-05-22
Business Address
BILLYLYNN LEIUILANI HAN PESTELL LCSW
410 S ORCHARD ST STE 124
BOISE, ID 83705-1210
Phone number: 208-398-0826
Mailing Address
BILLYLYNN LEIUILANI HAN PESTELL LCSW
6692 W MORRIS HILL LN APT 103
BOISE, ID 83704-9282
Phone number: 208-398-0826