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Individual

LAYNE DILLINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(661) 859-9336
Mailing address
4685 W LADLE RAPIDS ST, MERIDIAN, ID 83646-6773
(208) 681-0971

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8171
ID

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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