Individual
TRINA CHRISTEEN FISHER-SZELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1121 E STATE ST, STE 107, EAGLE, ID 83616-6062
(208) 850-7958
(208) 441-9947
Mailing address
1121 E STATE ST, STE 107, EAGLE, ID 83616-6062
(208) 850-7958
(208) 441-9947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25346
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806014000
—
ID
Enumeration date
03/22/2007
Last updated
05/29/2008
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