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Individual

VICTOR E MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
690 S INDUSTRY WAY STE 45, MERIDIAN, ID 83642-7907
(208) 922-2207
(208) 922-4168
Mailing address
519 W BOISE AVE, BOISE, ID 83706-4339
(208) 891-0318

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5325
ID
101YP2500X
Professional Counselor
Primary
5325
ID

Other

Enumeration date
07/31/2013
Last updated
07/31/2013
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