Individual
MARIA EUGENIA PEREDA-TORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
12837 N 11TH AVE, BOISE, ID 83714-5067
(208) 440-4485
Mailing address
12837 N 11TH AVE, BOISE, ID 83714-5067
(208) 440-4485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5014
ID
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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