Lacey Megorden, BS - Boise, ID

Lacey Megorden, BS

Peer Specialist in Boise, Idaho

NPI 1881157949

Lacey Megorden is a Peer Specialist based in Boise, ID. Lacey Megorden practices in Boise, ID and has the professional credentials of BS. The NPI Number for Lacey Megorden is 1881157949 and holds a License No. (Idaho).

The current practice location address for Lacey Megorden is 4222 W Emerald St, Boise, ID and can be reached out via phone at 208-605-3663 and via fax at 208-605-3663.

Location: 4222 W Emerald St, Boise, ID, 83706-2037

NPI Number

1881157949

Provider Name

Lacey Megorden

Credential

Provider Entity Type

Individual

Gender

Female

Address

4222 W Emerald St, Boise, ID, 83706-2037

Phone Number

208-605-3663

Fax Number

208-605-3663

Provider Enumeration Date

04/07/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1	05	ID

Address

4222 W Emerald St

City

Boise

State

Idaho

Zip

83706-2037

Phone Number

208-605-3663

Fax Number

208-605-3663

Address

4222 W Emerald St

City

Boise

State

Idaho

Zip

83706-2037

Phone Number

208-605-3663

Fax Number

208-605-3663

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

(Idaho)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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