Organization
MIRANDA PALMER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA PALMER LPC (OWNER)
(208) 490-2234
Entity
Organization
Contact information
Practice address
429 SW 5TH AVE STE 110, MERIDIAN, ID 83642-5037
(208) 490-2234
Mailing address
429 SW 5TH AVE STE 110, MERIDIAN, ID 83642-5037
(208) 490-2234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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