Individual
MARNAE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 S. 14TH ST, SUITE 2, BOISE, ID 83702
(208) 570-2791
Mailing address
509 S. 14TH ST, SUITE 2, BOISE, ID 83702
(208) 570-2791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-7907
ID
101YP2500X
Professional Counselor
LPC-6193
ID
Other
Enumeration date
06/06/2016
Last updated
02/01/2024
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