SearchIdahoCounselor

Jonathan Glick, LPCP

NPI 1922039262 · on the registry since 2006

Practice

Address
6010 W Overland Rd
Boise, ID 83709
Phone
(208) 377-5720
Organisation at this address
Shine Therapies Pllc
Inferred from a shared address, not stated in the registry.

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
2007-07-08

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