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Individual

LIONEL ALEXANDER SEGURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
509 NW 16TH ST, FRUITLAND, ID 83619-2219
(385) 275-8187
Mailing address
509 NW 16TH ST, FRUITLAND, ID 83619-2219

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/02/2026
Last updated
01/02/2026
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