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Search › Idaho › 225700000X

Tanna Willis, LCMT

NPI 1033551015 · on the registry since 2013 · sole proprietor

Practice

Address
1529 Belmont St
Boise, ID 83725
Phone
(208) 426-1459
Organisation at this address
Boise State Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
261QS1000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho