Individual
MEGAN BOURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1092 EASTLAND DR N, TWIN FALLS, ID 83301-8442
(208) 739-0230
Mailing address
1507 E 4200 N, BUHL, ID 83316-5656
(208) 739-0230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-5147
ID
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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