Whalio Doctors

NPI 1003135484

Lara Leigh Vick-Erickson, LCPC

Practitioner Professional Counselor Nampa, ID

Practice location

Address
1009 W Hemingway Blvd, Nampa, ID 83651-1763
Phone
(208) 453-8915
Mailing address
6145 N Queensbury Pl, Boise, ID 83713-0977

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LCPC-3737 (ID)

Registry record

NPI
1003135484
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2010
Record last updated
24 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.