Individual
DAVE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1250 E OAK ST, POCATELLO, ID 83201-3940
(208) 425-2489
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-3394
ID
101YP2500X
Professional Counselor
Primary
8321086
ID
Other
Enumeration date
07/27/2021
Last updated
12/22/2025
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