Individual
ISABEL MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4222 W EMERALD ST, BOISE, ID 83706-2037
(208) 401-6978
Mailing address
1910 DEARBORN ST, CALDWELL, ID 83605-5043
(208) 401-6978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9592
ID
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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