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General NPI Number Information
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NPI Number | 1992463160
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Entity Type | Organization
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Legal Business Name | MEG ROBERTS COUNSELING, LLC
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 410 S ORCHARD ST STE 128
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City | BOISE
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State | ID
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Zip | 83705-1288
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Country | US
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Telephone | 208-546-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 3459 E BOULDER HEIGHTS DR
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City | BOISE
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State | ID
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Zip | 83712-8565
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Country | US
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Telephone | 208-841-0567
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEGAN ROBERTS
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Credential | LPC
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Telephone | 208-546-9095
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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 |
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License Number State |
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