Individual
KAYLA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
524 CLEVELAND BLVD STE 180, CALDWELL, ID 83605-4076
(208) 454-2996
Mailing address
6550 W EMERALD ST STE 108, BOISE, ID 83704-8780
(208) 344-2228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7080
ID
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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