Individual
DR. DAMARIS ELLEN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
205 S LANCASTER DR, NAMPA, ID 83686-8077
(208) 463-6366
Mailing address
205 S LANCASTER DR, NAMPA, ID 83686-8077
(208) 463-6366
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT33016
CA
106H00000X
Marriage & Family Therapist
MFT6947
ID
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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