Individual provider · Type 1 NPI

Dominique Avery

Professional Counselor · Boise, ID

NPI number 1508254731 Active

Practice location

1011 W Williams St, Suite G
Boise, ID 83706-3564

Call (208) 352-0803 Map

Mailing address

2302 N 14th St
Boise, ID 83702-1109

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-5677 (ID)

Professional Counselor: Definition to come...

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About NPI 1508254731

Dominique Avery's National Provider Identifier is 1508254731, issued on Dec 22, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Dec 22, 2014.