MIKAELA OVERTON

BOISE, ID
NPI1154920429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: ID  6261175)
Additional Taxonomies103T00000X Psychologist
(Licence: MI  6352000475)
Enumeration Date2020-10-19
Last Update Date2024-08-22
Business Address
MIKAELA OVERTON
1075 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-381-5970
Mailing Address
MIKAELA OVERTON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: