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Organization

MERIDIAN MARRIAGE AND FAMILY THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA GARDNER LAMFT (GOVERNOR)
(208) 391-3416
Entity
Organization

Contact information

Practice address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 391-3416
Mailing address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 391-3416

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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