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Individual

PETRA MORRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
1031 W. SANETTA ST., NAMPA, ID 83651
(208) 466-7443
Mailing address
2273 S VISTA AVE STE 190, BOISE, ID 83705-7341
(208) 343-2737

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC 5801
ID

Other

Enumeration date
03/18/2010
Last updated
04/15/2016
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