Individual
MS. DANIELA MURILLO PANTOJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1350 S FIVE MILE RD UNIT 190088, BOISE, ID 83719-2003
(208) 231-8818
Mailing address
1350 S FIVE MILE RD UNIT 190088, BOISE, ID 83719-2003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8389
ID
101YP2500X
Professional Counselor
Primary
8389
ID
Other
Enumeration date
10/20/2021
Last updated
05/13/2024
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