BLAKE DURST LPC NPI 1902551187

NPI Information

Blake Durst, LPC is a counselor in Boise, ID. The provider is 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's degree and clinical experience and supervision for licensure or certification. Blake Durst, LPC NPI is 1902551187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9488 W FAIRVIEW AVE
BOISE, ID
ZIP 83704-101
Phone: (208) 322-2928

The enumeration date for this NPI number is 2/16/2022 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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