Individual
KENNA BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM, CBRS
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
171M00000X
Case Manager/Care Coordinator
—
ID
Other
Enumeration date
10/29/2025
Last updated
04/28/2026
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