Individual
MILDRED L MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
750 WARM SPRINGS AVE, SUITE C, BOISE, ID 83712-6475
(208) 850-4272
Mailing address
PO BOX 486, BOISE, ID 83701-0486
(208) 850-4272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
285
ID
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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