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Individual

MEGAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 546-9095
Mailing address
3459 E BOULDER HEIGHTS DR, BOISE, ID 83712-8565
(208) 841-0567

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
8149
ID
101YM0800X
Mental Health Counselor
8149
ID
101YP2500X
Professional Counselor
Primary
8149
ID

Other

Enumeration date
09/08/2021
Last updated
09/08/2021
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