SearchIdaho101YM0800X

Gwendolyn Gause, LCPC

NPI 1205220027 · on the registry since 2015 · sole proprietor

Practice

Address
1401 S Wardle St
Boise, ID 83705
Phone
(208) 412-0122
Fax
(208) 537-5730

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-26

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