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Avalon Derlacki Prentiss, LPC

NPI 1174196299 · on the registry since 2021 · sole proprietor

Practice

Address: 1015 W Hays St Ste 102
Boise, ID 83702
Phone: (208) 207-8889
Organisation at this address: Hart & Co Idaho Llc
Melissa Ruth Lcpc Llc
Boise Speech Tree, Llc
The Undiscovered Self, Pc
Sadiki Counseling Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho