Individual
PETE SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
12634 W KEMPSHIRE CT, STAR, ID 83669-5145
(208) 447-9967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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