Individual
MADISON NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Mailing address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9536
ID
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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