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Ms. Melissa Ann Brightstar Ruth, MS,LPC
Professional Counselor in Nampa, Idaho
NPI 1467671966

Melissa Ann Brightstar Ruth is a Professional Counselor based in Boise, ID and is specialized in Professional. Melissa Ann Brightstar Ruth practices in Nampa, ID and has the professional credentials of MS,LPC. The NPI Number for Melissa Ann Brightstar Ruth is 1467671966 and holds a License No. LPC3759 (Idaho).

The current practice location address for Melissa Ann Brightstar Ruth is 112 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-465-5433. You can also correspond with Melissa Ann Brightstar Ruth through the mailing address at 3123 WINSOME RD, BOISE, ID - 83702-0951 (mailing address contact number: 208-344-4284).

Location: 112 12Th Ave Rd, Nampa, ID, 83702-0951
person
Provider Profile Details
NPI Number
1467671966
Provider Name
Melissa Ann Brightstar Ruth
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
112 12Th Ave Rd, Nampa, ID, 83702-0951
Phone Number
208-465-5433
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010159326 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
112 12Th Ave Rd
City
State
Zip
83686-5051
Phone Number
208-465-5433
Fax Number
person
Provider Business Mailing Address Details
Address
3123 Winsome Rd
City
State
Zip
83702-0951
Phone Number
208-344-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC3759 (Idaho)
Definition
Definition to come...
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