Individual provider · Type 1 NPI

Mira Lee Nielson, LPC

Mental Health Counselor · Rexburg, ID

NPI number 1447956966 Active

Practice location

420 W 4th S
Rexburg, ID 83440-2319

Mailing address

635 Lincoln Dr
Idaho Falls, ID 83401-4156

Other practice locations

  • 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 · (208) 524-7400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8241727 (ID)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1447956966

Mira Lee Nielson, LPC's National Provider Identifier is 1447956966, issued on Feb 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rexburg, ID. The record was last updated on Dec 10, 2024.