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Individual

MRS. MERIDITH ANN DAHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
1655 W FAIRVIEW AVE, SUITE 115, BOISE, ID 83702-5120
(208) 515-7661
Mailing address
1655 W FAIRVIEW AVE, SUITE 115, BOISE, ID 83702-5120
(208) 515-7661

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-2933
ID
101YM0800X
Mental Health Counselor
LPC-2933
ID
101YP2500X
Professional Counselor
Primary
LPC-2933
ID
101YS0200X
School Counselor
LPC-2933
ID

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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