Individual
SPIAH CHARIAS PERZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(801) 373-4760
(801) 373-0639
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L13349
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-39042
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500756900
—
OR
Enumeration date
08/22/2016
Last updated
01/14/2026
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