Individual
MS. CATHY S KOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE C, IDAHO FALLS, ID 83404-8280
(208) 529-5777
(208) 529-5778
Mailing address
2375 E SUNNYSIDE RD, IDAHO FALLS, ID 83404-8280
(208) 709-3969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3465
ID
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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