Individual
KEYANA FAITH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
Mailing address
1011 W WILLIAMS ST STE G, BOISE, ID 83706-3564
(208) 991-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39723
ID
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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