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General NPI Number Information
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NPI Number | 1356093363
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Entity Type | Individual
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Provider Name | ANNA FAFFLER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 148 S COLE RD
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City | BOISE
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State | ID
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Zip | 83709-0932
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Country | US
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Telephone | 208-683-8320
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Fax | 208-969-8380
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Provider Business Mailing Address
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Address Line | 148 S COLE RD
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City | BOISE
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State | ID
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Zip | 83709-0932
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Country | US
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Telephone | 208-683-8320
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Fax | 208-969-8380
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-8523
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-8523
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-8331252
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License Number State | ID
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