Individual
KATHRYN KAY SHAVER-FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6003 W OVERLAND RD STE 301, BOISE, ID 83709-3077
(208) 801-6806
(208) 694-6301
Mailing address
6003 W OVERLAND RD STE 301, BOISE, ID 83709-3077
(208) 801-6806
(208) 694-6301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-40051
ID
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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