Individual provider · Type 1 NPI

Rosalie Lacivita, LPC

Mental Health Counselor · Boise, ID

NPI number 1265087522 Active

Practice location

921 S Orchard St Ste 100
Boise, ID 83705-1916

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265087522

Rosalie Lacivita, LPC's National Provider Identifier is 1265087522, issued on Aug 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Aug 5, 2019.