Individual provider · Type 1 NPI

Melissa Ann Brightstar Ruth, MS, LPC

Professional Counselor · Nampa, ID

NPI number 1467671966 Active

Practice location

112 12th Ave Rd
Nampa, ID 83686-5051

Mailing address

3123 Winsome Rd
Boise, ID 83702-0951

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC3759 (ID)

Professional Counselor: Definition to come...

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About NPI 1467671966

Melissa Ann Brightstar Ruth, MS, LPC's National Provider Identifier is 1467671966, issued on Apr 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Jul 8, 2007.