Individual
MRS. CYNTHIA R LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, LSW
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 705-0162
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 705-0162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 4555
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538352828
—
ID
Enumeration date
10/09/2007
Last updated
08/12/2024
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