Individual
CHERI DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
104 9TH AVE S STE A5, NAMPA, ID 83651-3805
(208) 614-1057
Mailing address
312 S BUTTERCUP CT, NAMPA, ID 83687-8991
(208) 250-4529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8331410
ID
101YP2500X
Professional Counselor
8331410
ID
Other
Enumeration date
10/05/2022
Last updated
02/19/2025
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