Individual
KELSEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 BELMONT STREET, BOISE, ID 83706
(208) 429-1459
Mailing address
8474 W LIMELIGHT ST APT 205, BOISE, ID 83714-6189
(209) 324-0622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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