Individual
MS. JULIA ROSE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2500 W KOOTENAI ST, BOISE, ID 83705-2408
(208) 908-0582
(208) 908-0580
Mailing address
2500 W KOOTENAI ST, BOISE, ID 83705-2408
(208) 908-0582
(208) 908-0580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-3406
ID
101YM0800X
Mental Health Counselor
LH00010983
WA
101YP2500X
Professional Counselor
Primary
LCPC-3406
ID
Other
Enumeration date
06/15/2006
Last updated
02/21/2018
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