Individual provider · Type 1 NPI
Maddison Vincent, LPC
Mental Health Counselor · Nampa, ID
NPI number
1629438965
Active
Practice location
4405 E Flamingo Ave
Nampa, ID 83687-3113
Mailing address
13768 S Greybull St
Nampa, ID 83651-5087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-6093 (ID) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1629438965
Maddison Vincent, LPC's National Provider Identifier is 1629438965, issued on Feb 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Feb 29, 2016.