Individual
ANA COLLEEN VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2463 E GALA ST, MERIDIAN, ID 83642-5209
(208) 955-7333
Mailing address
2463 E GALA ST, MERIDIAN, ID 83642-5209
(208) 955-7333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SE-203957
ID
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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