Individual
MELODY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
85 S MIDDLETON ROAD, NAMPA, ID 83651
(208) 505-2800
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-6053
ID
101Y00000X
Counselor
LPC-4977
ID
Other
Enumeration date
09/18/2013
Last updated
10/05/2023
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