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Individual

MS. SONI LEE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LCPC NCC

Contact information

Practice address
4144 E. AMITY AVE, NAMPA, ID 83687
(208) 465-4985
(208) 318-0218
Mailing address
4144 E. AMITY AVE, NAMPA, ID 83687
(208) 465-4985
(208) 318-0218

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4559
ID
101YP2500X
Professional Counselor
Primary
LCPC-4559
ID

Other

Enumeration date
09/04/2008
Last updated
10/29/2013
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