Whalio Doctors

NPI 1083959332

Lydia Jo Missal, LCPC

Practitioner Professional Counselor Hailey, ID

Practice location

Address
613 N River St STE 1a, Hailey, ID 83333-8438
Phone
(406) 546-2025
Mailing address
PO Box 5895, Hailey, ID 83333-5895

Registered specialties (3)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LCPC-5876 (ID)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC-5912 (ID)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2407 (MT)

Registry record

NPI
1083959332
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Nov 2012
Record last updated
17 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.