Individual
MEGAN ALLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
660 N. MAIN ST., KETCHUM, ID 83340
(208) 329-6977
Mailing address
PO BOX 4072, KETCHUM, ID 83340-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-8719
ID
101YP2500X
Professional Counselor
Primary
LCPC-8719
ID
Other
Enumeration date
05/14/2020
Last updated
05/16/2024
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