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NICOLE MADILL-KLUPENGER, LCPC 6404
LCPC 6404
Mental Health Counselor
NPI: 1366990996Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
LCPC-6404(ID)
Professional Counselor
Counselor — Professional
Code: 101YP2500X
LPC5539(ID)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2011
Contact & Hours
Via practice · 2 locations total
- Address
- 687 Cody Street
Bonners Ferry, ID 83805 - Phone
- (208) 267-0900
Quick Facts
- NPI
- 1366990996
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 15
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