Individual
EMILY SUZANNE MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2596 N STOKESBERRY PL STE 170, MERIDIAN, ID 83646-6115
(208) 495-5434
(208) 563-2602
Mailing address
2596 N STOKESBERRY PL STE 170, MERIDIAN, ID 83646-6115
(208) 495-5434
(208) 563-2602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-8457
ID
Other
Enumeration date
09/25/2018
Last updated
10/17/2022
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