Individual
MARIAH DARLENE LIGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 932-7048
Mailing address
3647 E BATE ST APT 4, IDAHO FALLS, ID 83401-6628
(208) 932-7048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4971383
ID
Other
Enumeration date
10/15/2025
Last updated
12/05/2025
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