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1619510211
LISA BUNKER
COEUR D ALENE, ID
NPI
1619510211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID Lcpc-5433)
Enumeration Date
2019-10-26
Last Update Date
2019-12-16
Business Address
LISA BUNKER LCPC
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814-2971
Phone number: 917-385-0520
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Mailing Address
LISA BUNKER LCPC
703 E LAKESIDE AVE
COEUR D ALENE, ID 83814-4131
Phone number:
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