Organization
A FAMILY PLACE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE L MELTON LCSW (OWNER)
(208) 345-8861
Entity
Organization
Contact information
Practice address
6003 W OVERLAND RD, STE 101, BOISE, ID 83709-3073
(208) 345-8861
(208) 345-2077
Mailing address
6003 W OVERLAND RD, STE 101, BOISE, ID 83709-3073
(208) 345-8861
(208) 345-2077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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