Individual provider · Type 1 NPI

Randall Dean Meenach, M.A.

Professional Counselor · Boise, ID

NPI number 1740465624 Active

Practice location

1517 W Jefferson St
Boise, ID 83702-5218

Fax (208) 385-0024

Mailing address

7329 Swift Ln
Boise, ID 83704-5963

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-3608 (ID)

Professional Counselor: Definition to come...

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About NPI 1740465624

Randall Dean Meenach, M.A.'s National Provider Identifier is 1740465624, issued on Jan 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jan 9, 2008.