Individual
KATY LYNN CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1883 N WILDWOOD ST, BOISE, ID 83713-5146
(208) 754-7070
Mailing address
16761 N JADE COVER LN APT 3, NAMPA, ID 83687-4222
(775) 901-1031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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