Individual
REBECCA FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 N MAIN ST STE 109, MOSCOW, ID 83843-8513
(208) 310-4204
Mailing address
2609 WILDROSE DR, MOSCOW, ID 83843-4512
(208) 310-6250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9182
ID
Other
Enumeration date
05/22/2022
Last updated
11/27/2023
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