Individual
MRS. JULIE ANNE MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
8691 W MEDITERRANEAN CT, BOISE, ID 83709-2600
(208) 371-6061
Mailing address
8691 W MEDITERRANEAN CT, BOISE, ID 83709-2600
(208) 371-6061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6779
ID
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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