Individual
SILVIA RENOVA-GAXIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2550 ADDISON AVE E, SUITE G, TWIN FALLS, ID 83301-6749
(208) 814-7750
(208) 814-7759
Mailing address
2550 ADDISON AVE E, SUITE G, TWIN FALLS, ID 83301-6749
(208) 814-7750
(208) 814-7759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC5261
ID
Other
Enumeration date
03/31/2014
Last updated
02/18/2015
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