Individual
MS. LESA MCCONNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
921 S ORCHARD ST STE 101, BOISE, ID 83705-1916
(208) 703-7357
(208) 712-6778
Mailing address
5223 W OVERLAND RD, BOISE, ID 83705-2637
(208) 395-1713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW 1100
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW 1100
ID
101YM0800X
Mental Health Counselor
LCSW 1100
ID
1041C0700X
Clinical Social Worker
Primary
LCSW 1100
ID
Other
Enumeration date
03/26/2007
Last updated
09/12/2024
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