Individual
KIMBERLY OPAL LEDWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ACADC
Contact information
Practice address
17678 DARK ZEBRA WAY, NAMPA, ID 83687-9078
(208) 880-3785
Mailing address
1420 SANDAL CRK, NAMPA, ID 83686-5288
(208) 880-3785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5248
ID
Other
Enumeration date
02/25/2011
Last updated
08/09/2013
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