Individual
LISA MARIE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11952 W DESCHUTES DR, BOISE, ID 83709-3767
(208) 917-2077
Mailing address
11952 W DESCHUTES DR, BOISE, ID 83709-3767
(208) 917-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8771792
ID
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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