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1205347408
NATASHA RENEA YAGANEH
BOISE, ID
NPI
1205347408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-6668)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
NATASHA RENEA YAGANEH LPC
7192 W POTOMAC DR
BOISE, ID 83704-9147
Phone number: 833-527-4747
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Mailing Address
NATASHA RENEA YAGANEH LPC
PO BOX 9153
BOISE, ID 83707-3153
Phone number: 503-475-7505
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