Individual provider · Type 1 NPI
Frederick Dominic Mondin, EDD
Professional Counselor · Boise, ID
NPI number
1710102892
Active
Practice location
220 West State St
Boise, ID 83702
Fax (208) 345-1947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC 43 (ID) |
| Marriage & Family Therapist | 106H00000X | LMFT 29 (ID) |
Professional Counselor: Definition to come...
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About NPI 1710102892
Frederick Dominic Mondin, EDD's National Provider Identifier is 1710102892, issued on Apr 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 11, 2025.