Individual
ALISA J NOLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(208) 391-3168
(208) 342-7584
Mailing address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(208) 391-3168
(208) 342-7584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6125
ID
101YM0800X
Mental Health Counselor
LPC-5046
ID
Other
Enumeration date
08/16/2012
Last updated
08/26/2022
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