Individual
MRS. MELISSA JIMENEZ CHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
410 S ORCHARD ST, SUITE 184, BOISE, ID 83705-1260
(208) 409-3799
Mailing address
3043 E FRATELLO ST, MERIDIAN, ID 83642-9336
(208) 409-3799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4561
ID
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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