Individual
MICHELLE TASSINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 352-2081
Mailing address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 352-2081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-7762
ID
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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