Healthcare Provider Details

I. General information

NPI: 1972937241
Provider Name (Legal Business Name): JOSHUA SCOTT DUGGER LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3071 E FRANKLIN RD # 201
MERIDIAN ID
83642-2376
US

IV. Provider business mailing address

3071 E FRANKLIN RD # 201
MERIDIAN ID
83642-2376
US

V. Phone/Fax

Practice location:
  • Phone: 208-807-2877
  • Fax:
Mailing address:
  • Phone: 208-807-2877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-5304
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: