# MDR COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDR Counseling and Massage LLC, Madeline Rousseau
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790699916
- **Authorized official:** MADELINE ROUSSEAU (OWNER AND SOLE PROVIDER)
- **Authorized official phone:** (503) 423-7954

## Contact information

- **Practice address:** 913 S LATAH ST STE A, BOISE, ID 83705-2265
- **Practice address phone:** (208) 402-8713
- **Practice address fax:** (210) 255-2135
- **Mailing address:** 11224 W CARTRIDGE ST, BOISE, ID 83713-3705
- **Mailing address phone:** (503) 423-7954
- **Mailing address fax:** (210) 402-8713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026