Individual provider · Type 1 NPI

Melissa Carol Durham, M.S., L.P.C.

Professional Counselor · Boise, ID

NPI number 1184944209 Active

Practice location

1276 W River St Ste 100
Boise, ID 83702-7083

Fax (208) 322-4722

Mailing address

4636 N Hacienda Ave
Boise, ID 83703-6425

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4308 (ID)

Professional Counselor: Definition to come...

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About NPI 1184944209

Melissa Carol Durham, M.S., L.P.C.'s National Provider Identifier is 1184944209, issued on Jun 11, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jun 11, 2010.