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Search › Idaho › 1041C0700X

Mary Bermensolo, LCSW

NPI 1659420693 · on the registry since 2007 · sole proprietor

Practice

Address
410 S Orchard St
Ste 132
Boise, ID 83705
Phone
(208) 412-6683
Fax
(208) 888-2215
Organisation at this address
Dia Michelle, Llc
Kristen Shearer Llc
Moore Wellness Pllc
Boise River Counseling
Tree Of Life Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-16

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