Most Relevant Information
Provider Data
| NPI Number: | 1003439902 |
| Provider Name: | HEIDY MEAD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2020 |
| Last Updated: | 05/26/2020 |
Provider Practice Location
125 COMMERCE ST STE B
MCCALL
ID
836385192
Practice Location Phone/Fax
| Phone: | 2086342962 |
| Fax: | 2086345064 |
Provider Mailing Location
2820 NAVAJO DR
NAMPA
ID
836867912
Provider Mailing Phone/Fax
| Phone: | 2083150993 |
| Fax: |