Individual
ANA BOISE
Active
Individual
ANA BOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701008554
VA
101YP2500X
Professional Counselor
Primary
84303
TX
Other
Enumeration date
08/21/2013
Last updated
11/09/2021
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