MELISSA RUTH LCPC LLC

BOISE, ID
NPI1750882635
Entity TypeOrganization
Authorized ContactMELISSA RUTH
Owner
208-841-1704
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2018-02-26
Last Update Date2018-02-26
Business Address
MELISSA RUTH LCPC LLC
1015 W HAYS ST STE 207
BOISE, ID 83702-5424
Phone number: 208-918-0319
Mailing Address
MELISSA RUTH LCPC LLC
910 E WASHINGTON ST
BOISE, ID 83712-7321
Phone number: 208-841-1704