Individual
MALINDA YELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCPC
Contact information
Practice address
6428 W INTERCHANGE LANE, BOISE, ID 83709
(208) 495-5164
Mailing address
18218 ROYAL WAY, NAMPA, ID 83687-9158
(208) 989-8271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC9663
ID
101YM0800X
Mental Health Counselor
LPC-5747
ID
Other
Enumeration date
11/05/2014
Last updated
08/23/2024
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