Individual
MS. ZULAEN R FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4222 W EMERALD ST, BOISE, ID 83706-2037
(208) 605-3663
(208) 605-3663
Mailing address
4222 W EMERALD ST, BOISE, ID 83706-2037
(208) 605-3663
(208) 605-3663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7096
ID
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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