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Individual

NATE BERRIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
4144 E AMITY AVE, NAMPA, ID 83687-8802
(208) 465-4985
Mailing address
716 15TH AVE S, NAMPA, ID 83651-4710
(208) 590-5135

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6524
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC-6524
STATE LICENSURE
ID
Enumeration date
09/18/2018
Last updated
09/18/2018
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