Individual
LESLIE MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
314 BADIOLA ST, CALDWELL, ID 83605-4389
(208) 454-8389
(208) 454-8404
Mailing address
1607 CHECOLA ST APT A, NAMPA, ID 83686-7627
(208) 965-4774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7315
ID
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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