Individual
AYAKO OTANI CAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.COUN., LPC, NCC
Contact information
Practice address
410 S ORCHARD ST STE 132, BOISE, ID 83705-1288
(208) 867-8380
Mailing address
410 S ORCHARD ST STE 132, BOISE, ID 83705-1288
(208) 867-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5612
ID
Other
Enumeration date
08/04/2014
Last updated
11/11/2014
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