Michelle Alden, LPC

Individual provider Active NPI Professional Counselor · Boise, ID

NPI 1144607359 · NPPES record last updated Apr 27, 2015

Key facts

NPI
1144607359
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-5021 (ID)
Practice address
2399 S Orchard St
Suite 201
Boise, ID 83705-3793
Phone
(208) 495-3162
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC-5021IDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5021 ID Yes

Addresses

Primary practice location

2399 S Orchard St
Suite 201
Boise, ID 83705-3793

Mailing address

2399 S Orchard St
Suite 201
Boise, ID 83705-3793
Phone (208) 495-3162

Other providers in Boise, ID

All providers in Boise, ID · Professional Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.