person
Nicole Diana Madill-klupenger, LCPC6404
Professional Counselor in Bonners Ferry, Idaho
NPI 1366990996

Nicole Diana Madill-klupenger is a Professional Counselor based in Bonners Ferry, ID and is specialized in Professional. Nicole Diana Madill-klupenger practices in Bonners Ferry, ID and has the professional credentials of LCPC6404. The NPI Number for Nicole Diana Madill-klupenger is 1366990996 and holds a License No. LCPC-6404 (Idaho).

The current practice location address for Nicole Diana Madill-klupenger is 687 Camp Nine Rd, Bonners Ferry, ID and can be reached out via phone at 541-314-5734.

Location: 687 Camp Nine Rd, Bonners Ferry, ID, 83805-5074
person
Provider Profile Details
NPI Number
1366990996
Provider Name
Nicole Diana Madill-klupenger
Credential
LCPC6404
Provider Entity Type
Individual
Gender
Female
Address
687 Camp Nine Rd, Bonners Ferry, ID, 83805-5074
Phone Number
541-314-5734
Fax Number
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
687 Camp Nine Rd
City
State
Zip
83805-5074
Phone Number
541-314-5734
Fax Number
person
Provider Business Mailing Address Details
Address
687 Camp Nine Rd
City
State
Zip
83805-5074
Phone Number
541-314-5734
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC5539 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-6404 (Idaho)
Definition
Definition to come...
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