DOMINIQUE AVERY NPI 1508254731

NPI Information

NPI: 1508254731
Provider Name: DOMINIQUE AVERY
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1011 W WILLIAMS ST
SUITE G
BOISE, ID
ZIP 83706
Phone: (208) 352-0803
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Dominique Avery is a professional counselor in Boise, ID. Dominique Avery NPI is 1508254731. 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:

1011 W WILLIAMS ST
SUITE G
BOISE, ID
ZIP 83706-564
Phone: (208) 352-0803

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC-5677	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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