Individual
MRS. TIFFANY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
410 S ORCHARD ST, 184, BOISE, ID 83705-1260
(208) 922-6714
Mailing address
410 S ORCHARD ST, 184, BOISE, ID 83705-1260
(208) 922-6714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6375
ID
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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