Individual
NICHOLE MARIE SCHALLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(208) 252-6174
Mailing address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(208) 252-6174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-5799
ID
Other
Enumeration date
02/10/2015
Last updated
02/28/2024
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