Individual
MIKAELA K SEBREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
100 E IDAHO ST, SUITE 200, BOISE, ID 83712-6267
(208) 381-5000
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY202439
ID
Other
Enumeration date
08/11/2008
Last updated
02/23/2011
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