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Individual

MS. NIKKI NELSON SAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
946 W BASELINE RD, PAUL, ID 83347-8785
(208) 438-2305
Mailing address
946 WEST BASELINE RD, PAUL, ID 83347
(208) 438-2305

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4278
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588918817
ID
Enumeration date
04/26/2013
Last updated
04/26/2013
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