Healthcare Provider Details

I. General information

NPI: 1922214253
Provider Name (Legal Business Name): VALARIE LYNN ZUNIGA LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W MAIN ST
WEISER ID
83672-1949
US

IV. Provider business mailing address

902 E PARK ST
WEISER ID
83672-2345
US

V. Phone/Fax

Practice location:
  • Phone: 208-549-1166
  • Fax: 208-549-1166
Mailing address:
  • Phone: 208-549-0840
  • Fax: 208-549-1166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC 3515
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 25323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: