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NPI Code Detail

MEDICARE: DADDY BOY HUDDY-NAHALEA

MEDICARE: DADDY BOY HUDDY-NAHALEA
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
1101YP2500XProfessional CounselorLPC-9607ID
2101Y00000XCounselorLPC-9607ID

General Provider Information

NPI Number : 1427734912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DADDY BOY HUDDY-NAHALEA
Provider Business Mailing Address
First Line : 12553 W EXPLORER DR STE 190
Second Line :
City : BOISE
State : ID
Zip : 83713-1612
Country : US
Telephone Number : 208-376-7083
Fax Number :
Provider Business Practice Location Address
First Line : 12553 W EXPLORER DR STE 190
Second Line :
City : BOISE
State : ID
Zip : 83713-1612
Country : US
Telephone Number : 208-376-7083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2023
Last Update Date : 03/10/2026

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Directions to “ DADDY BOY HUDDY-NAHALEA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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