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Virginia Spackman, MED,LCPC
Mental Health Counselor in Nampa, Idaho
NPI 1932590221

Virginia Spackman is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Virginia Spackman practices in Nampa, ID and has the professional credentials of MED,LCPC. The NPI Number for Virginia Spackman is 1932590221 and holds a License No. LCPC-7553 (Idaho).

The current practice location address for Virginia Spackman is 3904 E Flamingo Ave Ste 200, Nampa, ID and can be reached out via phone at 208-639-1514 and via fax at 208-639-2301.

Location: 3904 E Flamingo Ave Ste 200, Nampa, ID, 83687-3144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932590221
Provider Name
Virginia Spackman
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Female
Address
3904 E Flamingo Ave Ste 200, Nampa, ID, 83687-3144
Phone Number
208-639-1514
Fax Number
208-639-2301
Provider Enumeration Date
02/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3904 E Flamingo Ave Ste 200
City
Nampa
State
Idaho
Zip
83687-3144
Phone Number
208-639-1514
Fax Number
208-639-2301
person
Provider Business Mailing Address Details
Address
3904 E Flamingo Ave Ste 200
City
Nampa
State
Idaho
Zip
83687-3144
Phone Number
208-639-1514
Fax Number
208-639-2301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCPC-7553 (Idaho)
Definition
Definition to come...
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