Maxwell Aristaeus Dusky, LPC

NPI #1982260329 in Meridian, Idaho

Provider Information

NPI Number
1982260329
Entity Type
Individual
Name
Maxwell Aristaeus Dusky, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 10, 2019
Last Updated
May 10, 2019

Practice Location

Address
3017 S MERIDIAN RD
State
Idaho
ZIP Code
83642-7962
Phone
(208) 888-6123

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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