SearchIdahoCounselor

Blake Durst, LPC

NPI 1902551187 · on the registry since 2022 · sole proprietor

Practice

Address
9488 W Fairview Ave
Boise, ID 83704
Phone
(208) 322-2928
Organisation at this address
Pride Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 9777 W Yorkshire Dr, Boise, ID

Registry record

Primary taxonomy
Counselor
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-16

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