person
Michonne Pieksma
Professional Counselor in Caldwell, Idaho
NPI 1407283393

Michonne Pieksma is a Professional Counselor based in Caldwell, ID and is specialized in Professional. Michonne Pieksma practices in Caldwell, ID. The NPI Number for Michonne Pieksma is 1407283393 and holds a License No. LPC-5173 (Idaho).

The current practice location address for Michonne Pieksma is 2423 S Georgia Ave, Caldwell, ID and can be reached out via phone at 208-455-1788 and via fax at 208-455-2044. You can also correspond with Michonne Pieksma through the mailing address at 2423 S GEORGIA AVE, CALDWELL, ID - 83605-4477 (mailing address contact number: 208-455-1788).

Location: 2423 S Georgia Ave, Caldwell, ID, 83605-4477
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Provider Profile Details
NPI Number
1407283393
Provider Name
Michonne Pieksma
Credential
Provider Entity Type
Individual
Gender
Female
Address
2423 S Georgia Ave, Caldwell, ID, 83605-4477
Phone Number
208-455-1788
Fax Number
208-455-2044
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-5173 05 ID
institution
Provider Business Practice Location Address Details
Address
2423 S Georgia Ave
City
State
Zip
83605-4477
Phone Number
208-455-1788
Fax Number
208-455-2044
person
Provider Business Mailing Address Details
Address
2423 S Georgia Ave
City
State
Zip
83605-4477
Phone Number
208-455-1788
Fax Number
208-455-2044
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-5173 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-5173 (Idaho)
Definition
Definition to come...
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