Nicole Diana Madill-Klupenger, LCPC 6404
NPI #1366990996 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1366990996
- Entity Type
- Individual
- Name
- Nicole Diana Madill-Klupenger, LCPC 6404
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC 6404
- Enumeration Date
- Sep 12, 2016
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 687 CAMP NINE RD
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-5074
- Phone
- (541) 314-5734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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