Individual
MELANIE AL PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 W EMERALD ST STE 108, BOISE, ID 83704-8780
(208) 342-6300
Mailing address
6550 W EMERALD ST STE 108, BOISE, ID 83704-8780
(208) 342-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4079
ID
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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