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General NPI Number Information
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NPI Number | 1710815238
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Entity Type | Individual
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Provider Name | ALICIA COSIO LIPSCHULTZ LPC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 600 E RIVERPARK LN STE 105
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City | BOISE
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State | ID
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Zip | 83706-6561
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Country | US
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Telephone | 208-830-6598
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 N SUMMERFIELD WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-5582
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Country | US
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Telephone | 530-400-5402
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Fax |
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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-9828
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License Number State | ID
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