SearchIdahoProfessional Counselor

Wiesia Domanska-Miville, LCPC

NPI 1952503443 · on the registry since 2007 · sole proprietor

Practice

Address
1412 W Washington St
Boise, ID 83702
Phone
(208) 957-0957
Clinicians at this address
6

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Professional Counselor
Licence states on file
TX, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-25

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