Individual provider · Type 1 NPI

Michonne Pieksma

Addiction (Substance Use Disorder) Counselor · Caldwell, ID

NPI number 1407283393 Active

Practice location

2423 S Georgia Ave
Caldwell, ID 83605-4477

Fax (208) 455-2044

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLPC-5173 (ID)
Professional Counselor 101YP2500XLPC-5173 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407283393

Michonne Pieksma's National Provider Identifier is 1407283393, issued on Oct 9, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Caldwell, ID. The record was last updated on Oct 9, 2013.