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Organization
MDR COUNSELING LLC
Active
Organization
MDR COUNSELING LLC
Active
Other names
MDR Counseling and Massage LLC, Madeline Rousseau
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE ROUSSEAU (OWNER AND SOLE PROVIDER)
(503) 423-7954
Entity
Organization
Contact information
Practice address
913 S LATAH ST STE A, BOISE, ID 83705-2265
(208) 402-8713
(210) 255-2135
Mailing address
11224 W CARTRIDGE ST, BOISE, ID 83713-3705
(503) 423-7954
(210) 402-8713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
10/02/2026
Last updated
10/02/2026
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