Individual
MAXWELL ARISTAEUS DUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3017 S MERIDIAN RD, MERIDIAN, ID 83642-7962
(208) 888-6123
Mailing address
2842 N MULE DEER WAY, MERIDIAN, ID 83646-7812
(208) 353-2591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
ID
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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