Individual
JULIA LYN CDEBACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
524 CLEVELAND BLVD STE 205, CALDWELL, ID 83605-4080
(208) 606-3001
Mailing address
207 MOUNTAIN VIEW DR, NAMPA, ID 83686-8867
(208) 244-1298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
ID
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/10/2019
Last updated
06/07/2023
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