Individual
LISA OMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7791
Mailing address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5985
ID
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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