Individual
LUZ-EUGENIA FUENZALIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, BC-TMH
Contact information
Practice address
3071 E FRANKLIN RD # 201, MERIDIAN, ID 83642-2376
(208) 807-2877
Mailing address
692 E WHITNEY CT, EAGLE, ID 83616-3886
(405) 659-0852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-9815
ID
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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