Individual
MS. MICHELE ANNE ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9514 W FAIRVIEW AVE STE 100, BOISE, ID 83704-0614
(208) 936-5111
Mailing address
2891 W GEMSTONE DR, MERIDIAN, ID 83646-1195
(208) 936-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3375
ID
Other
Enumeration date
03/08/2011
Last updated
08/18/2023
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