Individual
KATHY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
J.D. M.S. ABD PH.D.
Contact information
Practice address
1010 W TETON AVE, NAMPA, ID 83686-9778
(208) 312-7148
Mailing address
1010 W TETON AVE, NAMPA, ID 83686-9778
(208) 312-7148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5614
ID
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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