| Michonne Pieksma, | |
|
2423 S Georgia Ave, Caldwell, ID 83605-4477 | |
| (208) 455-1788 | |
| (208) 455-2044 |
| Full Name | Michonne Pieksma |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2423 S Georgia Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407283393 | NPI | - | NPPES |
| LPC-5173 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LPC-5173 (Idaho) | Primary |
| 101YP2500X | Counselor - Professional | LPC-5173 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Michonne Pieksma, 2423 S Georgia Ave, Caldwell, ID 83605-4477 Ph: (208) 455-1788 | Michonne Pieksma, 2423 S Georgia Ave, Caldwell, ID 83605-4477 Ph: (208) 455-1788 |
Dia Michelle Rivers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15134 Greenwing St, Caldwell, ID 83607 Phone: 208-740-3372 | |
Mr. John K Bishop, LPC LICENSED PROFESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 16226 Horizon Dr, Caldwell, ID 83607 Phone: 208-602-4680 Fax: 208-454-9770 | |
Ms. Lyndell Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Blaine St, Caldwell, ID 83605 Phone: 208-880-6127 Fax: 208-455-6244 | |
Mrs. Wanda Lee Newton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Main Street, Suite B, Caldwell, ID 83605 Phone: 208-454-2471 | |
Michelle Lynn Drinkwine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 S 7th Ave, Caldwell, ID 83605 Phone: 208-454-1576 Fax: 208-454-9863 | |
Jennifer Padilla, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-318-1362 Fax: 208-345-3502 | |
Mr. Rusty James Wattier, SUDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Dearborn St, Caldwell, ID 83605 Phone: 208-606-9494 |