MIRA LEE NIELSON

REXBURG, ID
NPI1447956966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  8241727)
Enumeration Date2023-02-06
Last Update Date2024-12-10
Business Address
MIRA LEE NIELSON LPC
420 W 4TH S
REXBURG, ID 83440-2319
Phone number: 208-656-4017
Mailing Address
MIRA LEE NIELSON LPC
635 LINCOLN DR
IDAHO FALLS, ID 83401-4156
Phone number: 530-566-4117
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