Individual provider · Type 1 NPI

Desteni Neilson, LMSW

Mental Health Counselor · Boise, ID

NPI number 1811528540 Active

Practice location

1276 W River St Ste 100
Boise, ID 83702-7083

Call (208) 338-4699 Map

Mailing address

3408 N 33rd St
Boise, ID 83703-4954

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-39056 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1811528540

Desteni Neilson, LMSW's National Provider Identifier is 1811528540, issued on Jan 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Jan 31, 2020.