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NPI Code Detail

MEDICARE: JOSEPH P DIGRAZIA LCPC

MEDICARE:   JOSEPH P DIGRAZIA  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLCPC-10350ID

General Provider Information

NPI Number : 1023599586
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH P DIGRAZIA LCPC
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : NAMPA
State : ID
Zip : 83653-0009
Country : US
Telephone Number : 208-461-7149
Fax Number : 208-467-3391
Provider Business Practice Location Address
First Line : 300 S 23RD ST
Second Line :
City : BOISE
State : ID
Zip : 83702-9100
Country : US
Telephone Number : 208-344-3512
Fax Number : 208-344-4898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 02/27/2026

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Directions to “ JOSEPH P DIGRAZIA LCPC” Practice Location

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