Individual
DORINDA WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1820 S EAGLE RD, MERIDIAN, ID 83642-2447
(208) 203-3269
Mailing address
1820 S EAGLE RD, MERIDIAN, ID 83642-2447
(208) 203-3269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-9682
ID
101YP2500X
Professional Counselor
—
—
174400000X
Specialist
6210090
AZ
Other
Enumeration date
09/06/2007
Last updated
08/22/2024
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