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Individual

TARA LZICAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
300 S 23RD ST, BOISE, ID 83702-9100
(208) 344-3512
(208) 344-4898
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6457
ID

Other

Enumeration date
02/21/2014
Last updated
07/25/2018
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