AMITY HEYBORNE

MERIDIAN, ID
NPI1407679327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-9513)
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
AMITY HEYBORNE LPC
211 E PINE AVE STE 106
MERIDIAN, ID 83642-2321
Phone number: 208-954-1527
Mailing Address
AMITY HEYBORNE LPC
594 W KODIAK DR
MERIDIAN, ID 83642-8119
Phone number: 208-954-1527