Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leo Mironovich

Individual provider Professional Counselor · NPI 1194517417

Leo Mironovich is a Professional Counselor in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

9850 W St Lukes Dr Ste 320
Nampa, ID 83687-7912
Phone: (208) 505-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3271766 (ID)

Record details

NPI number1194517417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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