Individual
KIRI VAWDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
(208) 617-3270
Mailing address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
(208) 617-3270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1561272
ID
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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