Individual
ALICIA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 12TH AVE RD, NAMPA, ID 83686
(208) 465-5433
(208) 466-5802
Mailing address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 465-5433
(208) 466-5802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
69100
CA
106H00000X
Marriage & Family Therapist
Primary
LAMFT-7330
ID
Other
Enumeration date
05/09/2015
Last updated
10/14/2019
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