Individual
MS. MICHELLE ANNETTE SCOVILLE-DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4696 W OVERLAND RD, SUITE 252, BOISE, ID 83705-2845
(208) 841-3581
(208) 906-8572
Mailing address
4696 W OVERLAND RD, SUITE 252, BOISE, ID 83705-2845
(208) 841-3581
(208) 906-8572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2923
ID
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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