Lori Ann Manzanares, LPC
Counselor, Professional in Nampa, ID. Individual provider (NPI-1).
NPI number1699010389
StatusActive
Last updated in NPPESDec 6, 2012
Details
- NPI
- 1699010389
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lori Ann Manzanares
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2012
- Last updated
- Dec 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-4002 | ID | Yes |
Practice location
16 12th Ave S, Suite #103Cook Tafoya Fisher Behavioral Health
Nampa, ID 83651-3936
Phone 208-461-3720
Mailing address
1441 E Carter LnBoise, ID 83706-5391
Phone 208-310-1192
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