Individual
LISA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W BURNSIDE AVE, SUITE A, CHUBBUCK, ID 83202
(208) 238-9000
(208) 238-9002
Mailing address
210 W BURNSIDE AVE, SUITE A, CHUBBUCK, ID 83202
(208) 238-9000
(208) 238-9002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LCPC5146
ID
Other
Enumeration date
09/23/2008
Last updated
11/24/2025
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