Individual
NIKKI RAE CAVALERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6375
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10546
ID
Other
Enumeration date
06/14/2024
Last updated
08/05/2024
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