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Individual

SUNNY MARIE ROURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, LAC, NCC

Contact information

Practice address
5995 W STATE ST STE A, GARDEN CITY, ID 83703-3085
(208) 477-1302
Mailing address
1740 E FAIRVIEW AVE # 1001, MERIDIAN, ID 83642-5702
(208) 477-1302

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2771081
ID
101YM0800X
Mental Health Counselor
LAC-23285
AZ
101YP2500X
Professional Counselor
Primary
2771081
ID

Other

Enumeration date
01/14/2025
Last updated
03/19/2026
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