Individual
SANDRA A BAEZA NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
Mailing address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10103
ID
Other
Enumeration date
03/28/2024
Last updated
03/23/2026
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