Individual
ANGELA MARIA HERNANDEZ - HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., N.C.C, L.C.P.C
Contact information
Practice address
115 W MAIN ST STE 203, BOISE, ID 83702-7303
(208) 381-8330
(208) 381-1600
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5805
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326395146.
—
ID
Enumeration date
08/10/2012
Last updated
03/07/2024
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