Individual
MRS. KENDRA WOOLSTENHULME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
3401 NW 12TH AVE, MERIDIAN, ID 83646-6796
(202) 681-2277
Mailing address
3401 NW 12TH AVE, MERIDIAN, ID 83646-6796
(202) 681-2277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM778
MD
106H00000X
Marriage & Family Therapist
LGM613
MD
Other
Enumeration date
10/05/2016
Last updated
12/28/2020
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