Provider Demographics
NPI:1922214253
Name:ZUNIGA, VALARIE LYNN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:VALARIE
Middle Name:LYNN
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E PARK ST
Mailing Address - Street 2:
Mailing Address - City:WEISER
Mailing Address - State:ID
Mailing Address - Zip Code:83672-2345
Mailing Address - Country:US
Mailing Address - Phone:208-549-0840
Mailing Address - Fax:208-549-1166
Practice Address - Street 1:25 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WEISER
Practice Address - State:ID
Practice Address - Zip Code:83672-1949
Practice Address - Country:US
Practice Address - Phone:208-549-1166
Practice Address - Fax:208-549-1166
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC 3515101YP2500X
CAMFC 25323106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist