Individual
KATHLEEN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1970 E 17TH ST, STE. 202, IDAHO FALLS, ID 83404-8014
(208) 523-5319
(208) 523-5627
Mailing address
PO BOX 2106, IDAHO FALLS, ID 83403-2106
(208) 523-5319
(208) 523-5627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-33513
ID
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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