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General NPI Number Information
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NPI Number | 1912059031
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Entity Type | Individual
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Provider Name | JOYCE FAYE YEAGER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 211 W IOWA AVE
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City | NAMPA
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State | ID
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Zip | 83686-2834
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Country | US
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Telephone | 208-315-6717
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Fax | 208-315-6718
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Provider Business Mailing Address
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Address Line | PO BOX 1662
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City | MERIDIAN
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State | ID
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Zip | 83680-1662
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Country | US
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Telephone | 208-315-6717
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Fax | 208-315-6718
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19633
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-4792
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License Number State | ID
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