KRISTA JOY LANE

BOISE, ID
NPI1750615167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC 4906)
Enumeration Date2009-10-01
Last Update Date2013-01-09
Business Address
Mrs. KRISTA JOY LANE LCPC
1910 UNIVERSITY DR
BOISE, ID 83725-5047
Phone number: 208-426-2869
Mailing Address
Mrs. KRISTA JOY LANE LCPC
2691 NW 13TH ST
MERIDIAN, ID 83646-3102
Phone number: 208-420-5918