Healthcare Provider Details
I. General information
NPI: 1790692986
Provider Name (Legal Business Name): GENA HUNSAKER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1005 E PARK BLVD
BOISE ID
83712-7722
US
IV. Provider business mailing address
702 S PEARL ST
BOISE ID
83705-1764
US
V. Phone/Fax
- Phone: 208-695-8022
- Fax:
- Phone: 208-695-8022
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GENA
HUNSAKER
Title or Position: OWNER
Credential: LCSW
Phone: 208-695-8022