Individual
EVELYN FLEENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C
Contact information
Practice address
7412 W PREECE DR, BOISE, ID 83704-9039
(208) 830-9914
Mailing address
7412 W PREECE DR, BOISE, ID 83704-9039
(208) 830-9914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC4327
ID
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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