Individual
KELLEEN ALAINE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
859 S YELLOWSTONE HWY STE 203, REXBURG, ID 83440-5294
(208) 497-5258
Mailing address
25 E 2ND N, REXBURG, ID 83440-1512
(208) 201-8372
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8341149
ID
Other
Enumeration date
03/16/2022
Last updated
10/02/2025
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