Individual
NICOLE MARIE MCCOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 888-8886
(208) 658-0153
Mailing address
1703 E AMITY AVE, NAMPA, ID 83686-5546
(208) 800-2298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10631
ID
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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