Individual
KELSEY M WILLBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 E DEER FLAT RD, KUNA, ID 83634-1323
(208) 922-9001
Mailing address
145 E DEER FLAT RD, KUNA, ID 83634-1323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9271645
ID
Other
Enumeration date
12/31/2024
Last updated
10/07/2025
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