Individual
KIMBERLY HINRICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(208) 724-8581
Mailing address
6235 W EDGEWATER DR, BOISE, ID 83709-1032
(208) 724-8581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW 35027
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMSW 35027
ID
101YM0800X
Mental Health Counselor
LMSW 35027
ID
104100000X
Social Worker
LMSW 35027
ID
1041C0700X
Clinical Social Worker
Primary
LMSW 35027
ID
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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