Individual
MISS LORI LYNN FARRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
104 9TH AVE S STE B1, NAMPA, ID 83651-3809
(208) 803-0883
Mailing address
223 BUCKSKIN DR, NAMPA, ID 83687-8859
(208) 602-0885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4416
ID
101YP2500X
Professional Counselor
LPC-3840
ID
Other
Enumeration date
10/24/2007
Last updated
03/17/2018
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