Individual
MARTINA VELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6855 W FAIRVIEW AVE STE 120, BOISE, ID 83704-8046
(208) 323-8888
Mailing address
2856 S WISE WAY, BOISE, ID 83716-9114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7898
ID
Other
Enumeration date
10/03/2019
Last updated
11/05/2020
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