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NPI Code Detail

MEDICARE: AMANDA M KOVACS

MEDICARE: AMANDA M KOVACS
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
1101Y00000XCounselor7381713ID

General Provider Information

NPI Number : 1700771482
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA M KOVACS
Provider Business Mailing Address
First Line : 10348 W ALTAIR DR
Second Line :
City : STAR
State : ID
Zip : 83669-5615
Country : US
Telephone Number : 973-897-2128
Fax Number :
Provider Business Practice Location Address
First Line : 5418 N EAGLE RD STE 160
Second Line :
City : BOISE
State : ID
Zip : 83713-0100
Country : US
Telephone Number : 973-897-2128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/01/2026

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Directions to “ AMANDA M KOVACS ” Practice Location

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