Individual
AERIEL HENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 442-0429
Mailing address
4795 N MORNINGGALE DR APT 104, BOISE, ID 83713-1489
(208) 949-9235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-35109
ID
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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