Individual
MRS. NICHOLE ADELE HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
8950 W. EMERALD, BOISE, ID 83704-4854
(208) 376-7083
Mailing address
8950 W. EMERALD, BOISE, ID 83704-4854
(208) 376-7083
(208) 321-5069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC5597
ID
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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