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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LYDIA JO MISSAL, LCPC

Active Sole Proprietor

MS. LYDIA JO MISSAL, LCPC is a Professional Counselor healthcare provider located in HAILEY, Idaho. NPI 1083959332 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · HAILEY, ID

Registration Details

NPI Number
1083959332
Provider Type
Individual
Gender
Female
NPI Issued
Nov 27, 2012 (13.673643154972 yrs)
Last Updated
Mar 17, 2021
Licenses
LPC-5912 (ID)
2407 (MT)
LCPC-5876 (ID)
Sole Proprietor
Yes

Practice Information

Address
613 N RIVER ST STE 1A
HAILEY, ID, 833338438
Browse ID providers · Browse ZIP 83333
Phone
4065462025
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in HAILEY, ID

Name Credential NPI
MS. TERRI SUE JAMES M.ED. 1043305253
MS. BETTY LEE BROOKS MS LCPC 1730308305
JANICE WEBB PAYNE LPC 1003006883
TAMI S KAMMER L.M.F.T., L.C.P.C. 1386807477
MRS. CARRIE THOMAS SCOTT LCPC 1518386275
MARK ALBRECHT 1508267469
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.