Individual provider · Type 1 NPI
Avalon Noel Taylor Derlacki Prentiss, LCPC
Mental Health Counselor · Boise, ID
NPI number
1174196299
Active
Practice location
1407 N 13th St
Boise, ID 83702-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8331165 (ID) |
Mental Health Counselor: Definition to come...
5 other providers at this address
- Amanda P. Eisenberg, LPC, LAMFTCounselor Boise, ID NPI 1467007484
- Kendra Kellis, LAMFTMarriage & Family Therapist Boise, ID NPI 1952061095
- Piper Field, M.A., L.M.F.T.Marriage & Family Therapist Boise, ID NPI 1174739684
- Roberta Crockett, M.A., LMFT, LCPCMarriage & Family Therapist Boise, ID NPI 1033209341
- Susan Virginia Pennington, MA, MFTICounselor Boise, ID NPI 1194151936
Other mental health counselor providers in Boise
- Roxanne L. Pickerel, M.S., LCPCMental Health Counselor Boise, ID NPI 1003101189
- Jessica Dee Maitri, LCSWMental Health Counselor Boise, ID NPI 1003185745
- Rachel Marie Piazza VoightMental Health Counselor Boise, ID NPI 1003505538
- Terri Turpin, LCPCMental Health Counselor Boise, ID NPI 1003839184
- Charles Edward Vollet, LCSWMental Health Counselor Boise, ID NPI 1003971318
- Debra Lynne Gallagher, LPCMental Health Counselor Boise, ID NPI 1013221118
- Caitlin Hart, LCPC, NCCMental Health Counselor Boise, ID NPI 1013313006
- Deborah Dawn Huntington, LPCMental Health Counselor Boise, ID NPI 1013444678
About NPI 1174196299
Avalon Noel Taylor Derlacki Prentiss, LCPC's National Provider Identifier is 1174196299, issued on Jul 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Oct 27, 2026.