Healthcare Provider Details

I. General information

NPI: 1972437630
Provider Name (Legal Business Name): RESONANCE COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 W STATE ST STE 105
BOISE ID
83703-4450
US

IV. Provider business mailing address

4090 W STATE ST STE 105
BOISE ID
83703-4450
US

V. Phone/Fax

Practice location:
  • Phone: 208-243-9355
  • Fax: 208-279-2010
Mailing address:
  • Phone: 208-243-9355
  • Fax: 208-279-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. JANA MARIE ROSE
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 208-243-9355