LARA LEIGH VICK-ERICKSON

NAMPA, ID
NPI1003135484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-3737)
Enumeration Date2010-05-24
Last Update Date2010-05-24
Business Address
-- LARA LEIGH VICK-ERICKSON LCPC
1009 W HEMINGWAY BLVD
NAMPA, ID 83651-1763
Phone number: 208-453-8915
Mailing Address
-- LARA LEIGH VICK-ERICKSON LCPC
6145 N QUEENSBURY PL
BOISE, ID 83713-0977
Phone number: 208-761-0072