Individual
KAREN MAE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
424 WARNER AVE, LEWISTON, ID 83501-4447
(208) 816-3307
Mailing address
424 WARNER AVE, LEWISTON, ID 83501-4447
(208) 816-3307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6979
ID
101YP2500X
Professional Counselor
LPC 3525
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCPC6979
STATE OF IDAHO LICENSING BUREAU
ID
01
—
LPC 3525
LICENSED PROFESSIONAL COUNSELOR
ID
Enumeration date
03/22/2016
Last updated
10/29/2024
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