Organization
PINES COUNSELING AND PLAY CENTER
Active
Other names
Kerry Elder Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ELDER LCPC (COUNSELOR)
(208) 850-3542
Entity
Organization
Contact information
Practice address
12514 W MACUMBO ST, BOISE, ID 83709-5169
(208) 850-3542
Mailing address
12514 W MACUMBO ST, BOISE, ID 83709-5169
(208) 850-3542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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