Avalon Noel Taylor Derlacki Prentiss, LPC is a mental health counselor in Boise, ID. Avalon Noel Taylor Derlacki Prentiss, LPC NPI is 1174196299. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1015 W HAYS ST STE 102
BOISE, ID
ZIP 83702-412
Phone: (208) 207-8889
The enumeration date for this NPI number is 7/19/2021 and was last updated on 1/5/2024.