Individual
LENORAH TSETSAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2550 ADDISON AVE E, TWIN FALLS, ID 83301-6767
(208) 814-7750
(208) 814-7759
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 814-4114
(208) 814-4907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-45406
ID
104100000X
Social Worker
LMSW-33852
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-45406
ID
Other
Enumeration date
05/11/2016
Last updated
03/27/2025
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