MADDISON VINCENT

NAMPA, ID
NPI1629438965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-6093)
Enumeration Date2016-02-29
Last Update Date2016-02-29
Business Address
-- MADDISON VINCENT LPC
4405 E FLAMINGO AVE
NAMPA, ID 83687-3113
Phone number: 208-899-4042
Mailing Address
-- MADDISON VINCENT LPC
13768 S GREYBULL ST
NAMPA, ID 83651-5087
Phone number:
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