Individual
MISS MATALYNN BELLE EAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2995 N COLE RD STE 260, BOISE, ID 83704-5976
(208) 888-5905
(208) 888-5513
Mailing address
2995 N COLE RD STE 260, BOISE, ID 83704-5976
(208) 888-5905
(208) 888-5513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9572
ID
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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