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MELODY AUSTIN LCPC

Individual Provider (NPI-1) Active

Counselor

Provider Information

NPI Number
1871929125
Provider Type
Individual Provider (NPI-1)
Credentials
LCPC
Status
Active

Contact & Location

Address
85 S MIDDLETON ROAD, NAMPA, ID, 83651
Phone
(208) 505-2800

Specialties & Taxonomies

Counselor License: ID #LPC-4977
Counselor Primary License: ID #LCPC-6053

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

LOCATION

85 S MIDDLETON ROAD

NAMPA, ID, 83651

(208) 505-2800