Michonne Pieksma

NPI #1407283393 in Caldwell, Idaho

Provider Information

NPI Number
1407283393
Entity Type
Individual
Name
Michonne Pieksma
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 9, 2013
Last Updated
Oct 9, 2013

Practice Location

Address
2423 S GEORGIA AVE
State
Idaho
ZIP Code
83605-4477
Phone
(208) 455-1788

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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