Individual
KYLE DANIEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1070 N CURTIS RD STE 250, BOISE, ID 83706-1258
(208) 392-1317
Mailing address
2023 E SHERMAN AVE, NAMPA, ID 83686-7300
(208) 697-0784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10098
ID
Other
Enumeration date
01/31/2024
Last updated
02/15/2024
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