Eve Charlean Austin

Individual provider Active NPI Marriage & Family Therapist · Meridian, ID

NPI 1255670147 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1255670147
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
108022 (CA)
Practice address
3061 S Meridian Rd
Meridian, ID 83642-7962
Phone
(916) 500-4533
NPI assigned
Feb 12, 2013
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
108022CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 108022 CA Yes

Addresses

Primary practice location

3061 S Meridian Rd
Meridian, ID 83642-7962

Mailing address

PO Box 830
Kuna, ID 83634-0830
Phone (916) 500-4533

Other practice location 1

530 Plaza Dr Ste 130
Folsom, CA 95630
Phone (916) 500-4533

Other practice location 2

7200 Skyway
Paradise, CA 95969-3280
Phone (530) 877-1965

Other identifiers

IdentifierTypeStateIssuer
108022OtherCALMFT

Other providers in Meridian, ID

All providers in Meridian, ID · Marriage & Family Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.