Individual
NICHOLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
161 E MALLARD DR STE 100, BOISE, ID 83706-5015
(208) 203-2781
Mailing address
211 E. COEUR D'ALENE AVE, COEUR D'ALENE, ID 83814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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