person
Ms. Lydia Jo Missal, LCPC
Professional Counselor in Hailey, Idaho
NPI 1083959332

Lydia Jo Missal is a Professional Counselor based in Hailey, ID and is specialized in Professional. Lydia Jo Missal practices in Hailey, ID and has the professional credentials of LCPC. The NPI Number for Lydia Jo Missal is 1083959332 and holds a License No. LPC-5912 (Idaho).

The current practice location address for Lydia Jo Missal is 613 N River St Ste 1A, Hailey, ID and can be reached out via phone at 406-546-2025. You can also correspond with Lydia Jo Missal through the mailing address at PO BOX 5895, HAILEY, ID - 83333-5895 (mailing address contact number: 406-546-2025).

Location: 613 N River St Ste 1A, Hailey, ID, 83333-5895
person
Provider Profile Details
NPI Number
1083959332
Provider Name
Lydia Jo Missal
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
613 N River St Ste 1A, Hailey, ID, 83333-5895
Phone Number
406-546-2025
Fax Number
Provider Enumeration Date
11/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
613 N River St Ste 1A
City
State
Zip
83333-8438
Phone Number
406-546-2025
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 5895
City
State
Zip
83333-5895
Phone Number
406-546-2025
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2407 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-5912 (Idaho)
Definition
Definition to come...
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