CHARMAINE CHAVEZ

BOISE, ID
NPI1811303381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-5062)
Enumeration Date2014-07-06
Last Update Date2014-07-06
Business Address
-- CHARMAINE CHAVEZ
2399 S ORCHARD ST STE 201
BOISE, ID 83705-3795
Phone number: 208-869-6196
Mailing Address
-- CHARMAINE CHAVEZ
2399 S ORCHARD ST STE 201
BOISE, ID 83705-3795
Phone number: 208-899-3693
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