Individual
MIDEN YOSUNE NARVAIZA FITZHUGH FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 ALBION AVE, BURLEY, ID 83318-1818
(208) 431-1399
Mailing address
1360 ALBION AVE, BURLEY, ID 83318-1818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
12/10/2025
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