AVALON NOEL TAYLOR DERLACKI PRENTISS

BOISE, ID
NPI1174196299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  8188)
Enumeration Date2021-07-19
Last Update Date2024-11-19
Business Address
AVALON NOEL TAYLOR DERLACKI PRENTISS LPC
1015 W HAYS ST STE 102
BOISE, ID 83702-5412
Phone number: 208-207-8889
Mailing Address
AVALON NOEL TAYLOR DERLACKI PRENTISS LPC
1015 W HAYS ST STE 102
BOISE, ID 83702-5412
Phone number:
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