Individual
MS. NIKIE GREENE BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2286 STAFFORD DR, IDAHO FALLS, ID 83401-6043
(208) 589-3348
Mailing address
2286 STAFFORD DR, IDAHO FALLS, ID 83401-6043
(208) 589-3348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4774
ID
Other
Enumeration date
05/27/2022
Last updated
11/04/2024
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