Tobin Chambers Baldwin, LPC

Individual provider Active NPI Professional Counselor · Boise, ID

NPI 1962851444 · NPPES record last updated Apr 24, 2020

Key facts

NPI
1962851444
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LCPC-7677 (ID)
Practice address
3350 W Americana Ter Ste 210B
Boise, ID 83706-2521
Phone
(208) 703-0446
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCPC-7677IDMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCPC-7677 ID
Addiction (Substance Use Disorder) Counselor 101YA0400X LCPC-7677 ID
Mental Health Counselor 101YM0800X LCPC-7677 ID
Professional Counselor 101YP2500X LCPC-7677 ID Yes

Addresses

Primary practice location

3350 W Americana Ter Ste 210B
Boise, ID 83706-2521

Mailing address

PO Box 170033
Boise, ID 83717-0033
Phone (208) 703-0446

Other providers in Boise, ID

All providers in Boise, ID · Professional Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.