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Contact Information

AVANZAR WELLNESS LLC
10096 W FAIRVIEW AVE STE 160
BOISE, ID83704-5004
 Phone: 208-908-7882
 Fax: 208-908-7883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AVANZAR WELLNESS LLC · (Female)

NPI Number 1871126797
Status Active
Credentials
Entity Individual
Enumeration date 02/19/2020
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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