NPI 1366990996

Nicole Diana Madill-Klupenger, LCPC

Practitioner Mental Health Counselor Bonners Ferry, ID

Practice location

Address: 687 Camp Nine Rd, Bonners Ferry, ID 83805-5074
Phone: (541) 314-5734

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-6404 (ID)

Other Counselor providers in Idaho →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC5539 (ID)

Registry record

NPI: 1366990996
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2016
Record last updated: 23 Jun 2022

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.