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Individual

MS. MELISSA CAROL DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., L.P.C.

Contact information

Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
(208) 322-4722
Mailing address
4636 N HACIENDA AVE, BOISE, ID 83703-6425
(208) 230-1787
(208) 455-8622

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4308
ID

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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