Individual provider · Type 1 NPI

Lori Ann Manzanares, LPC

Professional Counselor · Nampa, ID

NPI number 1699010389 Active

Practice location

16 12th Ave S, Suite #103, Cook Tafoya Fisher Behavioral Health
Nampa, ID 83651-3936

Call (208) 461-3720 Map

Mailing address

1441 E Carter Ln
Boise, ID 83706-5391

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-4002 (ID)

Professional Counselor: Definition to come...

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About NPI 1699010389

Lori Ann Manzanares, LPC's National Provider Identifier is 1699010389, issued on Dec 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Dec 6, 2012.