Individual
MRS. LISA MARLENE BAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 MAIN AVE S, TWIN FALLS, ID 83301-6232
(208) 734-0407
(208) 734-3534
Mailing address
264 MAIN AVE S, TWIN FALLS, ID 83301-6232
(208) 734-0407
(208) 734-3534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7375
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-7375
LICENSE
ID
Enumeration date
07/02/2019
Last updated
07/02/2019
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