Individual
DAPHNE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 W EMERALD ST STE 130, BOISE, ID 83704-8209
(208) 600-2184
Mailing address
307 CONCOURSE AVE, CALDWELL, ID 83605-4870
(509) 438-6426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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