Individual
ALEXIS VANACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 E DEER FLAT RD, KUNA, ID 83634-1323
(208) 922-9001
(208) 922-3778
Mailing address
145 E DEER FLAT RD, KUNA, ID 83634-1323
(208) 922-9001
(208) 922-3778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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