Mira Lee Nielson, LPC

NPI #1447956966 in Rexburg, Idaho

Provider Information

NPI Number: 1447956966
Entity Type: Individual
Name: Mira Lee Nielson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Feb 6, 2023
Last Updated: Dec 10, 2024

Practice Location

Address: 420 W 4TH S
City: Rexburg
State: Idaho
ZIP Code: 83440-2319
Phone: (208) 656-4017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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