Individual
MRS. ERICA JANE VAN LEUVEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
740 WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC - 4849
ID
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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