Individual
CATHLEEN VICINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, PSY.D.
Contact information
Practice address
1093 E IRON EAGLE DR STE 125, EAGLE, ID 83616-6004
(208) 800-2207
Mailing address
12113 N UPPER RIDGE PL, BOISE, ID 83714-9324
(707) 888-8685
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3471962
ID
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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