Individual provider · Type 1 NPI

Donavan Alyse Fitch, LPC

Professional Counselor · Boise, ID

NPI number 1407626138 Active

Practice location

148 S Cole Rd
Boise, ID 83709-0932

Other practice locations

  • 509 S Middleton Rd, Middleton, ID 83644-6046 · (208) 683-8320
  • 411 Main Street Unit G, Kamiah, ID 83536 · (208) 683-8320
  • 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 · (208) 683-8320
  • 213 N Main St Ste 1B, Moscow, ID 83843-2700 · (208) 683-8320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-9595 (ID)
Professional Counselor Primary 101YP2500XLPC-9595 (ID)

Professional Counselor: Definition to come...

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About NPI 1407626138

Donavan Alyse Fitch, LPC's National Provider Identifier is 1407626138, issued on Jan 3, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Aug 6, 2024.