Individual
MS. KAREN KRISTINE NEWKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3350 W AMERICANA TER, SUITE 300, BOISE, ID 83706-2521
(208) 343-1113
(208) 232-4944
Mailing address
775 YELLOWSTONE AVE, PMB 320, POCATELLO, ID 83201-4406
(208) 241-5533
(208) 232-4944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCPC-4477
ID
101YM0800X
Mental Health Counselor
Primary
LCPC-4477
ID
101YP2500X
Professional Counselor
LCPC-4477
ID
Other
Enumeration date
03/30/2010
Last updated
06/01/2010
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