SearchIdaho101YP2500X

Maxwell Dusky, LPC

NPI 1982260329 · on the registry since 2019 · sole proprietor

Practice

Address
3017 S Meridian Rd
Meridian, ID 83642
Phone
(208) 888-6123
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-10

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