Provider Demographics
NPI:1336541796
Name:MEHLHAFF, CLAUDIA (LPC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MEHLHAFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4144 E AMITY AVE
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-8802
Mailing Address - Country:US
Mailing Address - Phone:208-465-4985
Mailing Address - Fax:208-318-0218
Practice Address - Street 1:4144 E AMITY AVE
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-8802
Practice Address - Country:US
Practice Address - Phone:208-465-4985
Practice Address - Fax:208-318-0218
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4871101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor