Healthcare Provider Details

I. General information

NPI: 1588845622
Provider Name (Legal Business Name): FRANCES MARIE ZUCCO LMHC, LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 S ACADEMY AVE STE 160
EAGLE ID
83616-6564
US

IV. Provider business mailing address

12073 N HUMPHREYS WAY
BOISE ID
83714-9343
US

V. Phone/Fax

Practice location:
  • Phone: 808-330-6294
  • Fax:
Mailing address:
  • Phone: 808-330-6294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0003508
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number135
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5467
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: