Individual
MS. LORI ANN MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16 12TH AVE S, SUITE #103, COOK TAFOYA FISHER BEHAVIORAL HEALTH, NAMPA, ID 83651-3936
(208) 461-3720
Mailing address
1441 E CARTER LN, BOISE, ID 83706-5391
(208) 310-1192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4002
ID
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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