Individual provider · Type 1 NPI

Pete Serra

Mental Health Counselor · Nampa, ID

NPI number 1508484312 Active

Practice location

1031 W Sanetta St
Nampa, ID 83651-5047

Mailing address

12634 W Kempshire Ct
Star, ID 83669-5145

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508484312

Pete Serra's National Provider Identifier is 1508484312, issued on Jul 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Jul 8, 2020.