Doctor Name: | LOIS GATES |
NPI Number: | 1891197018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, SAP, CCS, NCACII |
License Number: | |
Business Practice Address: | 512 W Idaho St Suite 104 Boise, ID - 837025908 |
Business Phone Number: | 5413799713 |
Business Fax Number: | |
Mailing Address: | 512 W Idaho St, Suite 104 BOISE |
State: | ID |
Postal Code: | 837025908 |
Phone Number: | 5413799713 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |