Individual
ADRIANA AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 623-8099
Mailing address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 623-8099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10509
ID
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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