person
Mira Lee Nielson
Mental Health Counselor in Idaho Falls, Idaho
NPI 1447956966

Mira Lee Nielson is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Mira Lee Nielson practices in Idaho Falls, ID. The NPI Number for Mira Lee Nielson is 1447956966 and holds a License No. COUI-9323 (Idaho).

The current practice location address for Mira Lee Nielson is 2275 W Broadway St Ste G, Idaho Falls, ID and can be reached out via phone at 208-524-7400.

Location: 2275 W Broadway St Ste G, Idaho Falls, ID, 83401-4156
person
Provider Profile Details
NPI Number
1447956966
Provider Name
Mira Lee Nielson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2275 W Broadway St Ste G, Idaho Falls, ID, 83401-4156
Phone Number
208-524-7400
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
COUI-9323 (Idaho)
Definition
Definition to come...
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