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General NPI Number Information
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NPI Number | 1871013805
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Entity Type | Individual
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Provider Name | DARREN ADAMS LCPC
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1612 S COLUMBUS ST
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City | BOISE
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State | ID
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Zip | 83705-3106
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Country | US
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Telephone | 208-870-0796
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Fax |
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Provider Business Mailing Address
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Address Line | 10193 W SMOKE RANCH DR APT 102
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City | BOISE
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State | ID
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Zip | 83709-6405
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Country | US
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Telephone | 208-870-0796
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-8616
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License Number State | ID
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