Individual
KENNEDY ANNE MCGURKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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