Individual
MR. LUIS JAVIER CORTEZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 697-7116
Mailing address
4465 N WESTON AVE, MERIDIAN, ID 83646-3945
(208) 697-7116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5905
ID
Other
Enumeration date
06/15/2015
Last updated
02/28/2024
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