Individual
LINDSAY MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 1/2 S MAIN ST, HAILEY, ID 83333-8403
(281) 386-9054
Mailing address
PO BOX 3410, HAILEY, ID 83333-3410
(281) 386-9054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14109542-6004
UT
101YM0800X
Mental Health Counselor
Primary
7641
ID
Other
Enumeration date
09/30/2024
Last updated
10/10/2024
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