Individual
MECKAYDEN NIEZGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 565-7719
Mailing address
907 N MERCER ST, BOISE, ID 83703-5133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5171667
ID
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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