Individual
MARY ELIZABETH FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2417 W BANK DR, BOISE, ID 83705-2570
(208) 509-2349
Mailing address
3901 W CLEMENT RD, BOISE, ID 83704-4532
(208) 509-2349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6330
ID
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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