Individual
MRS. EVE CHARLEAN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 S MERIDIAN RD, MERIDIAN, ID 83642-7962
(916) 500-4533
Mailing address
PO BOX 830, KUNA, ID 83634-0830
(916) 500-4533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
108022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108022
LMFT
CA
Enumeration date
02/12/2013
Last updated
07/06/2023
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