Individual
MRS. CYNTHIA ANNE MAUZERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9850 W ST LUKES DR STE 320, NAMPA, ID 83687-7912
(208) 505-2222
(208) 205-7666
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-3189
ID
101YP2500X
Professional Counselor
LCPC-3189
ID
Other
Enumeration date
01/30/2007
Last updated
12/05/2023
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