Provider Demographics
NPI:1841575560
Name:GAMBOA, BELINDA ESTOLIA (M COUN, LCPC)
Entity type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:ESTOLIA
Last Name:GAMBOA
Suffix:
Gender:F
Credentials:M COUN, LCPC
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:ESTOLIA
Other - Last Name:DALRYMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M COUN, LCPC
Mailing Address - Street 1:2752 N WESTMINSTER PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5865
Mailing Address - Country:US
Mailing Address - Phone:208-841-4060
Mailing Address - Fax:
Practice Address - Street 1:1055 N CURTIS RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1309
Practice Address - Country:US
Practice Address - Phone:208-367-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-6233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health