Healthcare Provider Details

I. General information

NPI: 1508908484
Provider Name (Legal Business Name): DAVID J GRAPP LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 N 22ND ST
BOISE ID
83702-0514
US

IV. Provider business mailing address

2208 N 22ND ST
BOISE ID
83702-0514
US

V. Phone/Fax

Practice location:
  • Phone: 208-385-9460
  • Fax:
Mailing address:
  • Phone: 208-385-9460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-3339
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-3339
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-3339
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberLPC-3339
License Number StateID
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLPC-3339
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: