Individual
MARIA MITTAG CHALFANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9169 W STATE ST STE 272, GARDEN CITY, ID 83714-1733
(208) 508-2202
Mailing address
1215 N 24TH ST, BOISE, ID 83702-2304
(208) 508-2202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5271359
ID
Other
Enumeration date
06/13/2025
Last updated
06/19/2025
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