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Organization

QUERENCIA COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA PEREZ LCSW (LICENSED CLINICAL SOCIAL WORKER)
(210) 363-1584
Entity
Organization

Contact information

Practice address
2200 S ORCHARD ST STE 201-1, BOISE, ID 83705-3799
(210) 363-1584
(208) 900-2082
Mailing address
2200 S ORCHARD ST STE 201-1, BOISE, ID 83705-3799
(210) 363-1584
(208) 900-2082

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/07/2023
Last updated
12/07/2023
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