| Melissa Ruth Lcpc Llc | |
|
1015 W Hays St Ste 207 Boise ID 83702-5424 | |
| (208) 918-0319 | |
| Not Available |
| Full Name | Melissa Ruth Lcpc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1015 W Hays St Ste 207, Boise, Idaho |
| Authorized Official Name and Position | Melissa Ruth (OWNER) |
| Authorized Official Contact | 2088411704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ruth Lcpc Llc 910 E Washington St Boise ID 83712-7321 Ph: (208) 841-1704 | Melissa Ruth Lcpc Llc 1015 W Hays St Ste 207 Boise ID 83702-5424 Ph: (208) 918-0319 |
| NPI Number | 1750882635 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750882635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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