Individual
MS. MELISSA CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMT
Contact information
Practice address
4222 W EMERALD ST, BOISE, ID 83706-2037
(208) 918-0797
Mailing address
1431 E PINERIDGE DR, BOISE, ID 83716-5775
(208) 340-0542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8331064
ID
225700000X
Massage Therapist
MASG-786
ID
Other
Enumeration date
09/15/2020
Last updated
10/21/2025
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