Individual
KRISTIN HASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 407-2671
Mailing address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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