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NPI Code Detail

MEDICARE: MRS. VICTORIA KRONZ M.COUN, LPC, NCC

MEDICARE: MRS. VICTORIA KRONZ M.COUN, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1114611720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA KRONZ M.COUN, LPC, NCC
Provider Business Mailing Address
First Line : 3676 N HARBOR LN STE 100
Second Line :
City : BOISE
State : ID
Zip : 83703-6919
Country : US
Telephone Number : 208-629-2467
Fax Number : 208-615-9155
Provider Business Practice Location Address
First Line : 3676 N HARBOR LN STE 100
Second Line :
City : BOISE
State : ID
Zip : 83703-6919
Country : US
Telephone Number : 208-607-3503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 04/13/2026

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