Individual provider · Type 1 NPI
Michele Anne Roeder, LCPC
Professional Counselor · Boise, ID
NPI number
1932407319
Active
Practice location
9514 W Fairview Ave Ste 100
Boise, ID 83704-0614
Mailing address
2891 W Gemstone Dr
Meridian, ID 83646-1195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC-3375 (ID) |
Professional Counselor: Definition to come...
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About NPI 1932407319
Michele Anne Roeder, LCPC's National Provider Identifier is 1932407319, issued on Mar 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Aug 18, 2023.