Search › Idaho › 1041C0700X
Ana Machuca, LCSW
NPI 1639654957 · on the registry since 2018 · sole proprietor
Practice
- Address
- 524 Cleveland Blvd Ste 180
Caldwell, ID 83605 - Phone
- (208) 323-9600
- Fax
- (208) 466-5359
- Organisation at this address
- Abhs Inc
Tynlo Llc
Serenity Wellness, Llc
Treasure Valley Rehabilitation
Community Health Clinics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 5901 N Lidgerwood St Ste 115, Spokane, WA
- 4455 Cordata Pkwy, Bellingham, WA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho