Doctor Name: | MRS. MEGAN IRENE OSBORNE |
NPI Number: | 1023294048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, LPC, NCC |
License Number: | LPC-3524 |
Business Practice Address: | 184 Gooding St. West. Ste. 2h Twin Falls, ID - 83303 |
Business Phone Number: | 2087340022 |
Business Fax Number: | 2087340855 |
Mailing Address: | P.o. Box 1844, 184 Gooding St. West. Ste. 2h TWIN FALLS |
State: | ID |
Postal Code: | 833031844 |
Phone Number: | 2087340022 |
Fax Number: | 2087340855 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-3524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |