Individual
INGRID ELIZABETH MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1110 W PARK PL STE 306, COEUR D ALENE, ID 83814-2784
(208) 667-3383
(208) 765-5082
Mailing address
1110 W PARK PL STE 306, COEUR D ALENE, ID 83814-2784
(208) 667-3383
(888) 765-5414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC3395
ID
Other
Enumeration date
01/01/2007
Last updated
10/19/2012
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