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Rusty O'leary
Professional Counselor in Nampa, Idaho
NPI 1215155973

Rusty O'leary is a Professional Counselor based in Nampa, ID and is specialized in Professional. Rusty O'leary practices in Nampa, ID. The NPI Number for Rusty O'leary is 1215155973 and holds a License No. LCPC-296 (Idaho).

The current practice location address for Rusty O'leary is 1305 2Nd St S, Nampa, ID and can be reached out via phone at 208-463-0202 and via fax at 208-463-0205. You can also correspond with Rusty O'leary through the mailing address at 1305 2ND ST S, NAMPA, ID - 83651-3944 (mailing address contact number: 208-463-0202).

Location: 1305 2Nd St S, Nampa, ID, 83651-3944
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Provider Profile Details
NPI Number
1215155973
Provider Name
Rusty O'leary
Credential
Provider Entity Type
Individual
Gender
Male
Address
1305 2Nd St S, Nampa, ID, 83651-3944
Phone Number
208-463-0202
Fax Number
208-463-0205
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCPC-296 01 ID ID PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1305 2Nd St S
City
State
Zip
83651-3944
Phone Number
208-463-0202
Fax Number
208-463-0205
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Provider Business Mailing Address Details
Address
1305 2Nd St S
City
State
Zip
83651-3944
Phone Number
208-463-0202
Fax Number
208-463-0205
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-296 (Idaho)
Definition
Definition to come...
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