Individual
JOHN SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 N ACER LOOP, NAMPA, ID 83687-1098
(208) 576-4316
Mailing address
819 N ACER LOOP, NAMPA, ID 83687-1098
(208) 576-4316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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