Individual
MELISSA D. SYRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
PO BOX 306, FORT HALL, ID 83203-0306
(208) 478-4026
Mailing address
PO BOX 306, FORT HALL, ID 83203-0306
(208) 478-4026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5148
ID
Other
Enumeration date
04/05/2013
Last updated
10/22/2025
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