SAMUEL PHILLIP LUQUE

BOISE, ID
NPI1710178876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-3615)
Enumeration Date2007-08-05
Last Update Date2023-05-16
Business Address
SAMUEL PHILLIP LUQUE LPC,
1055 N CURTIS RD
BOISE, ID 83706
Phone number: 208-367-2121
Mailing Address
SAMUEL PHILLIP LUQUE LPC,
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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