Individual
MS. TAMI WARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2589 S. FIVE MILE ROAD, BOISE, ID 83709
(208) 614-1734
Mailing address
2589 S. FIVE MILE ROAD, BOISE, ID 83709
(208) 614-1734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7088
ID
Other
Enumeration date
11/10/2014
Last updated
11/26/2018
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