LEO MIRONOVICH
Counselor - Professional
Active
Individual
NPI: 1194517417
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 3271766 (ID) |
Frequently Asked Questions
NPI 1194517417 is the National Provider Identifier for LEO MIRONOVICH, a Counselor - Professional provider located in Nampa, ID. This NPI was enumerated on May 21, 2025.
LEO MIRONOVICH practices at 9850 W ST LUKES DR STE 320, Nampa, ID 83687.
Quick Facts
- NPI
- 1194517417
- Type
- Individual
- Enumerated
- May 21, 2025
- Last Updated
- Jun 16, 2025
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