Individual
EMINA MUSTAFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
550 POLK ST STE A, TWIN FALLS, ID 83301-3916
(208) 814-9100
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-34868
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39872
ID
Other
Enumeration date
10/05/2015
Last updated
12/06/2021
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