Individual
MIRANDA ROSS PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
429 SW 5TH AVE STE 110, MERIDIAN, ID 83642-5037
(208) 490-2234
Mailing address
7660 W MANORWOOD DR, BOISE, ID 83704-3555
(208) 409-0083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3797
ID
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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